Urrutia, Alcira M
Urrutia, Alcira M is an individual health care provider with primary practice located at 1160 N Maclay Ave Suite #107, San Fernando CA 91340-5128. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Urrutia, Alcira M can be contacted via phone (818) 714-7714.Contact Information
Primary practice address
1160 N Maclay Ave Suite #107
San Fernando CA 91340-5128
Phone: (818) 714-7714
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 55679 | California |
Profile Details
| NPI number | 1326236290 |
|---|---|
| LBN Legal business name | Urrutia, Alcira M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2007 |
| Last updated | Aug 16th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326236290 | NPPES |
| California | MEDICAID | D55679 |
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