NPI 1013154103

Evie Vivaldo-Hernandez, RDA

Practitioner Dental Assistant Los Angeles, CA

Practice location

Address: 5807 N Figueroa St, Los Angeles, CA 90042-4227
Phone: (323) 982-0999
Fax: (323) 982-0333

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 63818 (CA)

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Registry record

NPI: 1013154103
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2009
Record last updated: 12 Jan 2009

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.