Provider Demographics
NPI:1023420395
Name:TERRONES NAJERA, HERMELINDA
Entity type:Individual
Prefix:
First Name:HERMELINDA
Middle Name:
Last Name:TERRONES NAJERA
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 1:2500 SOUTH SALTA ST APT11
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2500 S SALTA ST
Practice Address - Street 2:11
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-5650
Practice Address - Country:US
Practice Address - Phone:714-360-7163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68759126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant