Garcia, Jose Carlos

Garcia, Jose Carlos is an individual health care provider with primary practice located at 2636 E Dominguez St , Long Beach CA 90810. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Garcia, Jose Carlos can be contacted via phone (562) 277-3407.

Contact Information

Primary practice address
2636 E Dominguez St Long Beach CA 90810
Phone: (562) 277-3407
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 86400 California

Profile Details

NPI number 1497204028
LBN Legal business name Garcia, Jose Carlos
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2016
Last updated Sep 23rd, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497204028 NPPES
California MEDICAID 86400

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