Garza, Jacob
Garza, Jacob is an individual health care provider with primary practice located at 3380 La Sierra Ave Ste 108 , Riverside CA 92503-5225. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Garza, Jacob can be contacted via phone (951) 465-6982.Contact Information
Primary practice address
3380 La Sierra Ave Ste 108
Riverside CA 92503-5225
Phone: (951) 465-6982
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 87646 | California |
Profile Details
| NPI number | 1114404779 |
|---|---|
| LBN Legal business name | Garza, Jacob |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2018 |
| Last updated | Jul 25th, 2018 - about 8 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 | 1114404779 | NPPES |
| Other | NA | NA |
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