Provider Demographics
NPI:1881891075
Name:ARAMBULO, MARIA REBECCA ORSOLINO (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIA REBECCA
Middle Name:ORSOLINO
Last Name:ARAMBULO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:O
Other - Last Name:ARAMBULO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS, INC
Mailing Address - Street 1:22640 GOLDEN SPRINGS DR
Mailing Address - Street 2:SUITE #A
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-2200
Mailing Address - Country:US
Mailing Address - Phone:909-860-2656
Mailing Address - Fax:909-860-5546
Practice Address - Street 1:22640 GOLDEN SPRINGS DR
Practice Address - Street 2:SUITE #A
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-2200
Practice Address - Country:US
Practice Address - Phone:909-860-2656
Practice Address - Fax:909-860-5546
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA438901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA23626OtherUNITED HEALTH CARE
CA485713OtherUNITED CONCORDIA
CAB43890-01OtherHEALTHY FAMILIES
CA030127-1OtherBLUE SHIELD OF CALIFORNIA