NPI Code Details Logo

NPI 1497052096

NPI 1497052096 : SANDA VALCU-PINKERTON RDHAP : WINNETKA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1497052096
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SANDA VALCU-PINKERTON RDHAP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/16/2011
-----------------------------------------------------
    Last Update Date     |    02/16/2011
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    20654 BASSETT ST 
-----------------------------------------------------
    City                 |    WINNETKA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91306-3303
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    818-825-0192
-----------------------------------------------------
    Fax                  |    818-712-6980
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    P.O. BOX 3491 
-----------------------------------------------------
    City                 |    WINNETKA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91396-3491
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    818-825-0192
-----------------------------------------------------
    Fax                  |    818-712-6980
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    124Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Dental Hygienist
-----------------------------------------------------
    License Number       |    305
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.