Dijon, Rommel Bantog
Dijon, Rommel Bantog is an individual health care provider with primary practice located at 23232 Peralta Dr 113, Laguna Hills CA 92653-1443. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as his primary health care specialty. Dijon, Rommel Bantog can be contacted via phone (949) 922-2776.Contact Information
Primary practice address
23232 Peralta Dr 113
Laguna Hills CA 92653-1443
Phone: (949) 922-2776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | PT23752 | California |
Profile Details
| NPI number | 1942486758 |
|---|---|
| LBN Legal business name | Dijon, Rommel Bantog |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2008 |
| Last updated | Apr 3rd, 2009 - about 15 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 | 1942486758 | NPPES |
| California | Other | W18659 | MEDICARE GROUP PTAN |
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