NPI Search for Physicians and Health Care Providers
MS. NELLIE M ACEVEDO RDA
>> Dental Assistant >> Dental ProvidersRegistrant NPI Number: 1659718484
Individual Registrant:
MS. NELLIE M ACEVEDO RDA
Gender: F
Sole Proprietor
Location and contact information for practice:
9910 LONG BEACH BLVD STE A LYNWOOD, CA 90262-1561 US
Tel: 323-563-8900 Fax: --
Contact information for business:
1121 E TUCKER ST COMPTON, CA 90221-1282 US
Tel: 323-246-3894 Fax: --
Registration Information:
NPI: 1659718484
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 126800000X | Dental Providers Dental Assistant
| CA | 56812 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS CA - Page 1