Urrea, Anthony

Urrea, Anthony is an individual health care provider with primary practice located at 1227 E Puente Ave , West Covina CA 91790-1359. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Urrea, Anthony can be contacted via phone (626) 644-8793.

Contact Information

Primary practice address
1227 E Puente Ave West Covina CA 91790-1359
Phone: (626) 644-8793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 82517 California

Profile Details

NPI number 1295322634
LBN Legal business name Urrea, Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2020
Last updated Dec 30th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295322634 NPPES
California MEDICAID RDA82517

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