Welikala, Manohara
Welikala, Manohara is an individual health care provider with primary practice located at 55 W Los Angeles Ave , Moorpark CA 93021-1820. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Welikala, Manohara can be contacted via phone (805) 523-3216.Contact Information
Primary practice address
55 W Los Angeles Ave
Moorpark CA 93021-1820
Phone: (805) 523-3216
Fax: (805) 523-9630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 49243 | California |
Profile Details
| NPI number | 1598799199 |
|---|---|
| LBN Legal business name | Welikala, Manohara |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1598799199 | NPPES |
| California | Other | G92552-01 | DENTI-CAL |
| California | Other | B49243 | DENTI-CAL |
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