Minotti, John Regis

Minotti, John Regis is an individual health care provider with primary practice located at 801 11Th St , Lakeport CA 95453-4100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Minotti, John Regis can be contacted via phone (707) 263-3746.

Contact Information

Primary practice address
801 11Th St Lakeport CA 95453-4100
Phone: (707) 263-3746
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X C39966 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X C39966 California

Profile Details

NPI number 1932107828
LBN Legal business name Minotti, John Regis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Mar 9th, 2020 - about 4 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 1932107828 NPPES
California MEDICAID 00C399660
California Other 060067540
California Other 00C399660

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