Individual
JOHN ROBERT DEBANTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1412 1/2 CALUMET AVE, LOS ANGELES, CA 90026-5494
(678) 897-3726
Mailing address
9802 STOCKDALE HWY, STE 102, BAKERSFIELD, CA 93311-3653
(678) 897-3726
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G86400
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10331756922
—
CA
Enumeration date
04/21/2006
Last updated
04/27/2017
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