Debanto, John Robert
Debanto, John Robert is an sole proprietor health care provider with primary practice located at 1412 1/2 Calumet Ave , Los Angeles CA 90026-5494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Debanto, John Robert can be contacted via phone (678) 897-3726.Contact Information
Primary practice address
1412 1/2 Calumet Ave
Los Angeles CA 90026-5494
Phone: (678) 897-3726
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G86400 | California |
Profile Details
| NPI number | 1033175922 |
|---|---|
| LBN Legal business name | Debanto, John Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Apr 27th, 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 | 1033175922 | NPPES |
| California | MEDICAID | 10331756922 |
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