Dizon, Victoria Banez
Dizon, Victoria Banez is an individual health care provider with primary practice located at 10305 Promenade Pkwy Elk Grove, Elk Grove CA 95757-9400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dizon, Victoria Banez can be contacted via phone (916) 544-6600.Contact Information
Primary practice address
10305 Promenade Pkwy Elk Grove
Elk Grove CA 95757-9400
Phone: (916) 544-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | BP1-0022199 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A102576 | California |
Profile Details
| NPI number | 1780889360 |
|---|---|
| LBN Legal business name | Dizon, Victoria Banez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Dec 20th, 2021 - about 3 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 | 1780889360 | NPPES |
| Other | 2776657969 | MYUTMB 2776657969-COMMERCIAL NUMBER |
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