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NPI Code Detail

MEDICARE: MISS SAINA WU RDA

MEDICARE: MISS SAINA WU RDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1126800000XDental Assistant63665CA

General Provider Information

NPI Number : 1275770125
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SAINA WU RDA
Provider Business Mailing Address
First Line : 1707 FIELDGATE AVE
Second Line :
City : HACIENDA HEIGHTS
State : CA
Zip : 91745-3602
Country : US
Telephone Number : 626-200-7755
Fax Number :
Provider Business Practice Location Address
First Line : 1707 FIELDGATE AVE
Second Line :
City : HACIENDA HEIGHTS
State : CA
Zip : 91745-3602
Country : US
Telephone Number : 626-200-7755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2009
Last Update Date : 01/14/2009

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Directions to “ MISS SAINA WU RDA” Practice Location

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