Vasquez, Eduardo
Vasquez, Eduardo is an sole proprietor health care provider with primary practice located at 501 S Idaho St Suite 120, La Habra CA 90631-6047. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Vasquez, Eduardo can be contacted via phone (562) 690-0400.Contact Information
Primary practice address
501 S Idaho St Suite 120
La Habra CA 90631-6047
Phone: (562) 690-0400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | 49825 | California |
| Dental Providers / General Practice | 1223G0001X | 49825 | California |
| Dental Providers / Dentist | 122300000X | 49825 | California |
Profile Details
| NPI number | 1366584146 |
|---|---|
| LBN Legal business name | Vasquez, Eduardo |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jun 1st, 2021 - about 3 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 | 1366584146 | NPPES |
| California | MEDICAID | 1366584146 |
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