Marquez, Miranda

Marquez, Miranda is an individual health care provider with primary practice located at 2209 Bataan Rd , Redondo Beach CA 90278-1404. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Marquez, Miranda can be contacted via phone (310) 714-2876.

Contact Information

Primary practice address
2209 Bataan Rd Redondo Beach CA 90278-1404
Phone: (310) 714-2876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 76646 California

Profile Details

NPI number 1558808949
LBN Legal business name Marquez, Miranda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2017
Last updated Jan 24th, 2017 - 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 1558808949 NPPES
California MEDICAID 76646

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