Tatiana Bojorquez Grijalva, RDA
Individual provider Active NPI Dental Assistant · La Puente, CA
NPI 1457733602 · NPPES record last updated Jun 24, 2015
Key facts
- NPI
- 1457733602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Assistant 126800000X
- License
- 83071 (CA)
- Practice address
- 808 Larimore Ave
La Puente, CA 91744-3028 - Phone
- (626) 261-6630
- NPI assigned
- Jun 24, 2015
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83071 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 83071 | CA | Yes |
Addresses
Primary practice location
808 Larimore Ave
La Puente, CA 91744-3028
Mailing address
808 Larimore Ave
La Puente, CA 91744-3028
Phone (626) 261-6630
Other providers in La Puente, CA
- Bethany Medical Supply Inc.
- Bio-Medical Applications of California, Inc.
- Blessed Care Providers 4 Hospice and Palliative Services Inc.
- Crystal Bocardo-Palomino
- Elizabeth Bocardo-Palomino
- Inthava Bounpraseuth-Hao
- Dina Brown
- Michael Joshua Bugante
- Ashley P. Bullock
- Melissa Bustos
All providers in La Puente, 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 Jun 24, 2015. 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.