Doris Jean Amaya
Individual provider Active NPI Dental Assistant · Artesia, CA
NPI 1033301072 · NPPES record last updated Aug 14, 2007
Key facts
- NPI
- 1033301072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Assistant 126800000X
- License
- 27254 (CA)
- Practice address
- 11664 178TH St Apt a
Artesia, CA 90701-3881 - Phone
- (562) 402-8513
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27254 | CA | MD | Dental Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 27254 | CA | Yes |
Addresses
Primary practice location
11664 178TH St Apt a
Artesia, CA 90701-3881
Mailing address
11664 178TH St Apt a
Artesia, CA 90701-3881
Phone (562) 402-8513
Other providers in Artesia, CA
- All Around Palliative Care Inc.
- Stephanie Guadalupe Alvarez
- Cristina Amansec
- Indu Samanthi Amarasinghe
- Manel Swarna Amarasinghe
- Nelda Amini
- Aileen Andrion
- Angelcare Hospice
- Angels TLC Home Inc
- Anna Belle a. Cuyong, D.M.D., Inc.
All providers in Artesia, CA · Dental Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.