Tanada, Geraldine

Tanada, Geraldine is an individual health care provider with primary practice located at 455 S C St , Oxnard CA 93030-5917. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Tanada, Geraldine can be contacted via phone (805) 483-9586.

Contact Information

Primary practice address
455 S C St Oxnard CA 93030-5917
Phone: (805) 483-9586
Fax: (805) 483-1486
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 44098 California

Profile Details

NPI number 1225175862
LBN Legal business name Tanada, Geraldine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jul 9th, 2007 - about 19 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 1225175862 NPPES
California MEDICAID D44098

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