Individual
OSCAR MENDOZA MILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025-1188
(310) 409-9933
Mailing address
9945 TAMARACK AVE, PACOIMA, CA 91331-3436
(818) 213-0287
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
73006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73006
—
CA
Enumeration date
02/24/2021
Last updated
02/24/2021
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