Individual provider · NPI-1

Angelica Y Jones, R.D.A

Dental Assistant · Lynwood, CA

NPI number1730425398
StatusActive
Last updated in NPPESDec 28, 2012

Details

NPI
1730425398
Entity type
Individual (NPI-1)
Name
Angelica Y Jones
Credential
R.D.A
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 28, 2012
Last updated
Dec 28, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
126800000X Dental Assistant73800CAYes

Practice location

9910 Long Beach Blvd Ste A
Lynwood, CA 90262-1561

Phone 323-563-8900

Mailing address

6761 Curtis Ave Apt 1
Long Beach, CA 90805-1950

Phone 310-978-7916

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dental Assistant providers in Lynwood, CA