Ballentine, Renee Heather
Ballentine, Renee Heather is an individual health care provider with primary practice located at 1451 Irvine Blvd , Tustin CA 92780-3804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ballentine, Renee Heather can be contacted via phone (714) 838-8878.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A8509 | California |
Profile Details
| NPI number | 1043387046 |
|---|---|
| LBN Legal business name | Ballentine, Renee Heather |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Mar 8th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043387046 | NPPES |
| California | MEDICAID | 00AX85090 |
Popular Providers
-
Pham, Dzung Anh
2940 Nau Ave , Tustin CA 92782-3377 -
Ahmed, Shadia
16634 Sonora St , Tustin CA 92782-1938 -
Thomas, Cheryl Ann
195 S C St Ste 100, Tustin CA 92780-3666 -
Cohen, Karmen
2492 Walnut Ave 110, Tustin CA 92780-6953 -
Schreiman, Robert C
1101 Bryan Ave Suite E, Tustin CA 92780-4401 -
Kim, Susie
1451 Irvine Blvd , Tustin CA 92780-3804 -
Crumpton, William Robert
14642 Newport Ave Suite#200, Tustin CA 92780-6057 -
Naples, Anthony F
13095 Jamboree Rd , Tustin CA 92782-9150