Sonya Ascencio

Individual provider Active NPI Dental Assistant · Pacoima, CA

NPI 1285254359 · NPPES record last updated Apr 20, 2020

Key facts

NPI
1285254359
Entity type
Individual (NPI type 1)
Primary specialty
Dental Assistant 126800000X
Practice address
10957 Jamie Ave
Pacoima, CA 91331-1656
Phone
(818) 205-3185
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X Yes

Addresses

Primary practice location

10957 Jamie Ave
Pacoima, CA 91331-1656

Mailing address

10957 Jamie Ave
Pacoima, CA 91331-1656

Other providers in Pacoima, CA

All providers in Pacoima, CA · Dental Assistant in California

Sources for this page

Verify at the official NPI Registry.