Rommel Bantog Dijon in Laguna Hills - Geriatrics
Rommel Bantog Dijon - NPI 1942486758
Rommel Bantog Dijon is a Geriatrics in Laguna Hills, California. Rommel Bantog Dijon practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Rommel Bantog Dijon is 1942486758. The last update date is 2009-04-03.
Rommel Bantog Dijon's current location address is 23232 Peralta Dr, Laguna Hills, California. You can contact this provider via phone number 9499222776. The mailing address for Rommel Bantog Dijon is 23232 Peralta Dr, Laguna Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rommel Bantog Dijon |
|---|---|
| Address | 23232 Peralta Dr, Laguna Hills, California |
| Phone Number | 9499222776 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1942486758 |
|---|---|
| Provider Enumeration Date | 2008-01-11 |
| Last Updated Date | 2009-04-03 |
Provider Mailing Address Detail
| Address | 23232 Peralta Dr |
|---|---|
| City | Laguna Hills |
| State | California (CA) |
| Post Code | 926531443 |
| Phone Number | 9499222776 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatrics |
|---|---|
| Taxonomy | 2251G0304X |
| Licence No | PT23752 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W18659 | CA | MEDICARE GROUP PTAN |
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What is the unique 10-digit identification code issued to Rommel Bantog Dijon by the Centers for Medicare & Medicaid Services?
The Rommel Bantog Dijon has been assigned the NPI (National Provider Identifier) 1942486758 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Rommel Bantog Dijon?
The Rommel Bantog Dijon is situated at 23232 Peralta Dr, in the city of Laguna Hills, state of CA, with the zip code 926531443.
What is Rommel Bantog Dijon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Rommel Bantog Dijon's area of specialization is Geriatrics, and the corresponding taxonomy code that categorizes this field of practice is 2251G0304X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942486758 to Rommel Bantog Dijon?
The Centers for Medicare & Medicaid Services originally issued the 1942486758 to Rommel Bantog Dijon on 2008-01-11.
When was the information regarding Rommel Bantog Dijon most recently updated?
The details pertaining to the Rommel Bantog Dijon, including its address, specialty, and other relevant information, were last refreshed on 2009-04-03.
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