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Contact Information

GENESSIS S AMIGON, RDA
1160 E ONTARIO AVE STE 103
CORONA, CA92881-8653
 Phone: 951-547-7484
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for GENESSIS S AMIGON · (Female)

NPI Number 1992291983
Status Active
Credentials RDA
Entity Individual
Enumeration date 07/02/2018
Last updated 07/02/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 90024
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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