Provider Demographics
NPI:1023255544
Name:OSEGUERA, MARIA ELENA
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:ELENA
Last Name:OSEGUERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6725 MALABAR STREET
Mailing Address - Street 2:APT. #A
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255
Mailing Address - Country:US
Mailing Address - Phone:323-588-7802
Mailing Address - Fax:
Practice Address - Street 1:1725 W. 6TH STREET
Practice Address - Street 2:WEST COAST DENTAL 6TH STREET
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017
Practice Address - Country:US
Practice Address - Phone:213-413-5151
Practice Address - Fax:213-413-7171
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant