Dedonato, Larry M
Dedonato, Larry M is an sole proprietor health care provider with primary practice located at 1429 Main St , Delano CA 93215-1726. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dedonato, Larry M can be contacted via phone (661) 725-9771.Contact Information
Primary practice address
1429 Main St
Delano CA 93215-1726
Phone: (661) 725-9771
Fax: (661) 725-2403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT6429T | California |
Profile Details
| NPI number | 1447216221 |
|---|---|
| LBN Legal business name | Dedonato, Larry M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Apr 13th, 2012 - about 12 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 | 1447216221 | NPPES |
| California | MEDICAID | SD0064290 |
Popular Providers
-
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Tao, Tony Yu
1150 N Watters Rd Suite 107, Allen TX 75013-5508 -
Smothers-Champley, Debra
900 W Springfield Rd , Taylorville IL 62568-1213 -
Kucia-Park, Lori Ann
919 13Th Avenue , Delano CA 93215-2202 -
Brudner, Peter N.
425 W Central Ave , Lompoc CA 93436-2805 -
Schrader-Moore, Sandra
202 W Center St , Lexington NC 27292-3012 -
Keplinger, Brian Leigh
15 Grandview Dr Ste D, Frankfort KY 40601-3235 -
Cloyd, Frances G
709 S Riverside Ave , Medford OR 97501-7837