Whalio Doctors

NPI 1003168345

Healthy Smiles for Everyone Dental Hygiene Practice of Marcia Espinoza

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Riverside, CA

Practice location

Address
375 Central Ave 58, Riverside, CA 92507-6540
Phone
(951) 638-3896

Authorised official

Name
Marcia Espinoza
Title
Dental Hygienist
Phone
(951) 638-3896

Registered specialties (5)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence HAP 428 (CA)
Exclusive Provider Organization
Managed Care Organizations Taxonomy 302F00000X Licence HAP 428 (CA)
Health Maintenance Organization
Managed Care Organizations Taxonomy 302R00000X Licence HAP 428 (CA)
Preferred Provider Organization
Managed Care Organizations Taxonomy 305R00000X Licence HAP 428 (CA)
Point of Service
Managed Care Organizations Taxonomy 305S00000X Licence HAP 428 (CA)

Registry record

NPI
1003168345
Entity type
Organization
NPI issued
10 Oct 2012
Record last updated
10 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.