Organization
JOHN R. DEBANTO, MD, INC.
Active
Organization
JOHN R. DEBANTO, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT DEBANTO MD (PHYSICIAN/OWNER)
(818) 659-7444
Entity
Organization
Contact information
Practice address
435 ARDEN AVE STE 530, GLENDALE, CA 91203-1140
(818) 659-7444
(818) 332-1234
Mailing address
435 ARDEN AVE STE 530, GLENDALE, CA 91203-1140
(818) 659-7444
(818) 332-1234
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99999
NONE
—
Enumeration date
04/23/2021
Last updated
04/23/2021
Update your record
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