Jia Hulbert
Dental Assistant
1207 W 144th St Apt 3
Gardena
, California 90247-2540
Jia Hulbert
Dental Assistant
1207 W 144th St Apt 3
Gardena
, California 90247-2540
(818) 434-5735
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Jia Hulbert
- 1207 W 144th St Apt 3
- Gardena, CA
- Zip : 90247-2540
- Phone : (818) 434-5735
Second Address
- Jia Hulbert
- 1207 W 144th St Apt 3
- Gardena, CA
- Zip : 90247-2540
- Phone : (818) 434-5735
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 126800000X | Dental Assistant | ||
| Y | 126800000X | Dental Assistant | RDA94824 | CA |
National Provider Identifier
| NPI | 1154939049 |
|---|---|
| Provider Name | Jia Hulbert |
| First Address | Gardena, CA 90247-2540 |
| Second Address | Gardena, CA 90247-2540 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2020 |
| Last Update Date | 17/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| RDA94824 | (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.