Maria Rica Alejandro

Individual provider Active NPI Dental Assistant · North Hills, CA

NPI 1841892411 · NPPES record last updated Nov 9, 2020

Key facts

NPI
1841892411
Entity type
Individual (NPI type 1)
Primary specialty
Dental Assistant 126800000X
License
RDA82173 (CA)
Practice address
15350 Nordhoff St
North Hills, CA 91343-2234
Phone
(310) 820-9933
NPI assigned
Nov 9, 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

State licenses

LicenseStateTypeSpecialty
RDA82173CAMDDental Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X RDA82173 CA Yes

Addresses

Primary practice location

15350 Nordhoff St
North Hills, CA 91343-2234

Mailing address

2750 Riverside Dr Apt 211
Los Angeles, CA 90039-2371
Phone (323) 447-0038

Other identifiers

IdentifierTypeStateIssuer
RDA82173MedicaidCA

Other providers in North Hills, CA

All providers in North Hills, CA · Dental Assistant in California

Sources for this page

Verify at the official NPI Registry.