Bonotano, Randy Patio

Bonotano, Randy Patio is an sole proprietor health care provider with primary practice located at 109 San Diego Ave , Daly City CA 94014-1038. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Bonotano, Randy Patio can be contacted via phone (415) 203-0749.

Contact Information

Primary practice address
109 San Diego Ave Daly City CA 94014-1038
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 041931939 California

Profile Details

NPI number 1124676770
LBN Legal business name Bonotano, Randy Patio
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2019
Last updated Aug 27th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124676770 NPPES
California MEDICAID IT-04-19-31939

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