Jontiff, Lola

Jontiff, Lola is an sole proprietor health care provider with primary practice located at 418 1/2 Heliotrope Ave , Corona Del Mar CA 92625. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Dietary & Nutritional Service Providers / Nutritionist, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information. Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information is her primary health care specialty. Jontiff, Lola can be contacted via phone (786) 683-6166.

Contact Information

Primary practice address
418 1/2 Heliotrope Ave Corona Del Mar CA 92625
Phone: (786) 683-6166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information 246Y00000X

Profile Details

NPI number 1982320156
LBN Legal business name Jontiff, Lola
Credentials RAD T
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2022
Last updated Oct 18th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982320156 NPPES
Florida MEDICAID NA

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