Zepeda, Youdiski
Zepeda, Youdiski is an individual health care provider with primary practice located at 1406 N Azusa Ave Ste C , Covina CA 91722-1257. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Zepeda, Youdiski can be contacted via phone (310) 820-9933.Contact Information
Primary practice address
1406 N Azusa Ave Ste C
Covina CA 91722-1257
Phone: (310) 820-9933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 95067 | California |
Profile Details
| NPI number | 1659967297 |
|---|---|
| LBN Legal business name | Zepeda, Youdiski |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2020 |
| Last updated | Dec 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659967297 | NPPES |
| California | MEDICAID | 95067 |
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