| Jose M. Sosa, Dds, Inc. | |
|
1235 W Vista Way Ste L Vista CA 92083-6234 | |
| (760) 730-0168 | |
| (760) 730-0189 |
| Full Name | Jose M. Sosa, Dds, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1235 W Vista Way Ste L, Vista, California |
| Authorized Official Name and Position | Jose M Sosa (CEO) |
| Authorized Official Contact | 7607300168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose M. Sosa, Dds, Inc. 1235 W Vista Way Ste L Vista CA 92083-6234 Ph: (760) 730-0168 | Jose M. Sosa, Dds, Inc. 1235 W Vista Way Ste L Vista CA 92083-6234 Ph: (760) 730-0168 |
| NPI Number | 1205337763 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 02/21/2018 |
| Medicare PECOS PAC ID | 3577892975 |
|---|---|
| Medicare Enrollment ID | O20190910003552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205337763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 56379 (California) | Primary |
| Provider Name | Jose M Sosa |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1750579371 PECOS PAC ID: 2365771763 Enrollment ID: I20190910003788 |
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