Edgar De La Rocha
Dental Assistant
4826 Elizabeth St
Cudahy
, California 90201-5206
Edgar De La Rocha
Dental Assistant
4826 Elizabeth St
Cudahy
, California 90201-5206
(323) 560-3659
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Edgar De La Rocha
- 4826 Elizabeth St
- Cudahy, CA
- Zip : 90201-5206
- Phone : (323) 560-3659
Second Address
- Edgar De La Rocha
- 4826 Elizabeth St
- Cudahy, CA
- Zip : 90201-5206
- Phone : (323) 560-3659
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | CA |
National Provider Identifier
| NPI | 1114164704 |
|---|---|
| Provider Name | Edgar De La Rocha |
| First Address | Cudahy, CA 90201-5206 |
| Second Address | Cudahy, CA 90201-5206 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2009 |
| Last Update Date | 19/01/2009 |
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.