SANDRA MICHELLE HENRIQUEZ


Address: 3163 Ivy St, Los Angeles, CA 90034-3212
Phone: 3106947421

SANDRA MICHELLE HENRIQUEZ (NPI# 1972097483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972097483
Entity Type Individual
Full Name SANDRA MICHELLE HENRIQUEZ
Other Name MRS. SANDRA MICHELLE HENRIQUEZ
Credential RDHAP
Practice Address 3163 Ivy St
Los Angeles
CA 90034-3212
Practice Telephone 3106947421
Practice Fax Number 3108397367
Mailing Telephone 3106947421
Mailing Fax Number 3108397367
Enumeration Date 2018-06-18
Last Update Date 2018-06-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 698 CA Dental Providers

Other Providers SANDRA HENRIQUEZ

NPI Name Taxonomy Address Enumeration
1376036830 Sandra Castellon Henriquez Occupational Therapist 17620 Redland Rd Ste A, Rockville, MD 20855-1245 2018-06-10

Office Location

Street Address 3163 IVY ST
City LOS ANGELES
State CA
Zip Code 90034-3212

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1841799400 Benjamin Kerneves Physical Therapist 3637 Clarington Ave, Los Angeles, CA 90034 2018-02-08
1497274799 Nancy Mcdonald Counselor 9854 National Blvd., #493, Los Angeles, CA 90034 2017-09-18
1063931608 Alexa Rohach Physical Therapist 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 2017-09-14
1225551807 Bts Outpatient LLC Counselor 8847 Venice Blvd, Los Angeles, CA 90034 2017-07-25
1316467400 Clarissa Green Rehabilitation Counselor Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 2017-06-21
1245789940 Genesis Psychology Group, Inc. Psychologist 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 2016-09-23
1245787712 Mahsa Harati Dentist 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 2016-09-01
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659987857 Teresa Diane Topdjian Dental Hygienist 346 S Wilton Pl Apt 104, Los Angeles, CA 90020-4589 2020-09-22
1477164176 Nancy Palacios Dental Hygienist 1004 E 77th St, Los Angeles, CA 90001-2912 2020-08-14
1164987632 Jeannette Diaz Dental Hygienist 217 E 8th St Apt 1101, Los Angeles, CA 90014-2395 2019-02-08
1912499310 Alliance Ivy Kamdem Dental Hygienist 3344 Castle Heights Ave Apt 302, Los Angeles, CA 90034-2771 2018-05-31
1144745076 Mastane M Shalikar Dental Hygienist 10683 Holman Ave, #5, Los Angeles, CA 90024 2017-08-11
1730611708 Ravinesh Pathak Dental Hygienist 1348 W 35th Pl, Los Angeles, CA 90007-3404 2017-03-29
1396285300 Kathleen Mae Delos Reyes Abueva Dental Hygienist 859 N Wilton Pl, Los Angeles, CA 90038-4057 2017-02-24
1043686975 Conrad Ignatius Harmon Sr. Dental Hygienist 3004 W 46th St, Los Angeles, CA 90043-1321 2015-08-14
1396128096 Sandy Levy Dental Hygienist 2350 Overland Ave, Los Angeles, CA 90064-2210 2015-06-30
1023401734 Afsaneh S Dadseresht Dental Hygienist 1115 S Elm Dr Apt 203, Los Angeles, CA 90035-1132 2015-03-05
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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