Krishnamoorthy, Vijeta
Krishnamoorthy, Vijeta is an individual health care provider with primary practice located at 23111 Ventura Blvd Ste 204 , Woodland Hills CA 91364-1160. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Krishnamoorthy, Vijeta can be contacted via phone (818) 225-1630.Contact Information
Primary practice address
23111 Ventura Blvd Ste 204
Woodland Hills CA 91364-1160
Phone: (818) 225-1630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DDS101280 | California |
Profile Details
| NPI number | 1972025518 |
|---|---|
| LBN Legal business name | Krishnamoorthy, Vijeta |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2017 |
| Last updated | Jun 18th, 2024 - about 2 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 | 1972025518 | NPPES |
| California | MEDICAID | DDS101280 |
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