Ruby Alvarez

Individual provider Active NPI Dental Assistant · Hawthorne, CA

NPI 1629624523 · NPPES record last updated Aug 15, 2019

Key facts

NPI
1629624523
Entity type
Individual (NPI type 1)
Primary specialty
Dental Assistant 126800000X
Practice address
12730 Hawthorne Blvd
Hawthorne, CA 90250-3919
Phone
(310) 644-4000
NPI assigned
Aug 15, 2019
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

12730 Hawthorne Blvd
Hawthorne, CA 90250-3919

Mailing address

8934 San Gabriel Ave Unit B
South Gate, CA 90280-3122
Phone (310) 227-0676

Other providers in Hawthorne, CA

All providers in Hawthorne, CA · Dental Assistant in California

Sources for this page

Verify at the official NPI Registry.