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Ian O Bishop, RBT

Technician, Other in Fountain Valley, CA. Individual provider (NPI-1).

NPI number1215439773
StatusActive
Last updated in NPPESMar 1, 2018

Details

NPI
1215439773
Entity type
Individual (NPI-1)
Name
Ian O Bishop
Credential
RBT
Sex
Male
Sole proprietor
No
Enumeration date
Mar 1, 2018
Last updated
Mar 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

11037 Warner Ave # 339
Fountain Valley, CA 92708-4007

Phone 800-273-4292 · Fax 949-253-4627

Mailing address

11037 Warner Ave # 339
Fountain Valley, CA 92708-4007

Phone 800-273-4292 · Fax 949-253-4627

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