1881891075 NPI number — DR. MARIA REBECCA ORSOLINO ARAMBULO DDS

Table of content: DR. MARIA REBECCA ORSOLINO ARAMBULO DDS (NPI 1881891075)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881891075 NPI number — DR. MARIA REBECCA ORSOLINO ARAMBULO DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARAMBULO
Provider First Name:
MARIA REBECCA
Provider Middle Name:
ORSOLINO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ARAMBULO
Provider Other First Name:
REBECCA
Provider Other Middle Name:
O
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS, INC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1881891075
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22640 GOLDEN SPRINGS DR
Provider Second Line Business Mailing Address:
SUITE #A
Provider Business Mailing Address City Name:
DIAMOND BAR
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91765-2200
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-860-2656
Provider Business Mailing Address Fax Number:
909-860-5546

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22640 GOLDEN SPRINGS DR
Provider Second Line Business Practice Location Address:
SUITE #A
Provider Business Practice Location Address City Name:
DIAMOND BAR
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91765-2200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-860-2656
Provider Business Practice Location Address Fax Number:
909-860-5546
Provider Enumeration Date:
06/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  43890 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 23626 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 485713 . This is a "UNITED CONCORDIA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: B43890-01 . This is a "HEALTHY FAMILIES" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 030127-1 . This is a "BLUE SHIELD OF CALIFORNIA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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