Montalvo, Carlos Santana
Montalvo, Carlos Santana is an sole proprietor health care provider with primary practice located at 2700 Adams Ave Ste 209 , San Diego CA 92116-1367. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Independent Duty Corpsman, Dental Providers / Dental Hygienist. Dental Providers / Dental Hygienist is his primary health care specialty. Montalvo, Carlos Santana can be contacted via phone (619) 647-4599.Contact Information
Primary practice address
2700 Adams Ave Ste 209
San Diego CA 92116-1367
Phone: (619) 647-4599
Fax: (888) 323-3119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X | ||
| Dental Providers / Dental Hygienist | 124Q00000X | 31862 | California |
Profile Details
| NPI number | 1114133113 |
|---|---|
| LBN Legal business name | Montalvo, Carlos Santana |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2007 |
| Last updated | Nov 7th, 2022 - about 4 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 | 1114133113 | NPPES |
| California | Other | 31862 | BOARD OF DENTAL HYGIENE CALIFORNIA |
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