Ana Dina Medrano
Dental Assistant
763 Rio Rancho Rd Ste 120
Pomona
, California 91766-7015
Ana Dina Medrano
Dental Assistant
763 Rio Rancho Rd Ste 120
Pomona
, California 91766-7015
(951) 247-1170
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Ana Dina Medrano
- 14595 Piedmont Dr
- Moreno Valley, CA
- Zip : 92555-5740
- Fax : (951) 247-1170
- Phone : (951) 489-8120
Second Address
- Ana Dina Medrano
- 763 Rio Rancho Rd Ste 120
- Pomona, CA
- Zip : 91766-7015
- Phone : (909) 242-7989
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 60484 | CA |
National Provider Identifier
| NPI | 1053934778 |
|---|---|
| Provider Name | Ana Dina Medrano |
| First Address | Moreno Valley, CA 92555-5740 |
| Second Address | Pomona, CA 91766-7015 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/05/2020 |
| Last Update Date | 28/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 60484 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.