Bridgette, Latonya Dominique
Bridgette, Latonya Dominique is an sole proprietor health care provider with primary practice located at 370 Crenshaw Blvd Ste E100 , Torrance CA 90503-1728. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Bridgette, Latonya Dominique can be contacted via phone (310) 787-1500.Contact Information
Primary practice address
370 Crenshaw Blvd Ste E100
Torrance CA 90503-1728
Phone: (310) 787-1500
Fax: (310) 787-9713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X |
Profile Details
| NPI number | 1447446919 |
|---|---|
| LBN Legal business name | Bridgette, Latonya Dominique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2007 |
| Last updated | Mar 12th, 2010 - about 14 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 | 1447446919 | NPPES |
| California | MEDICAID | 1 |
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