Individual
JOHN NEIL TABIN DEANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15152 HUNTINGTON CT, POWAY, CA 92064-3069
(858) 254-2664
Mailing address
10290 BLACK MOUNTAIN RD APT 209, SAN DIEGO, CA 92126-3839
(619) 717-9921
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y7544968
LICENSE
CA
Enumeration date
01/06/2026
Last updated
01/06/2026
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