Vasquez, Isaiah Darian
Vasquez, Isaiah Darian is an individual health care provider with primary practice located at 9910 Long Beach Blvd Ste A , Lynwood CA 90262-1561. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Vasquez, Isaiah Darian can be contacted via phone (323) 538-2002.Contact Information
Primary practice address
9910 Long Beach Blvd Ste A
Lynwood CA 90262-1561
Phone: (323) 538-2002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 93763 | California |
Profile Details
| NPI number | 1861038713 |
|---|---|
| LBN Legal business name | Vasquez, Isaiah Darian |
| Credentials | Registered Dental Assistant (RDA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2019 |
| Last updated | Nov 25th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861038713 | NPPES |
| California | MEDICAID | 93763 |
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