Individual provider · NPI-1
Donald Vidana, RCP, RRT, NPS
Respiratory Therapist, Registered · Rancho Cucamonga, CA
NPI number1578821575
StatusActive
Last updated in NPPESApr 26, 2012
Details
- NPI
- 1578821575
- Entity type
- Individual (NPI-1)
- Name
- Donald Vidana
- Credential
- RCP, RRT, NPS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2012
- Last updated
- Apr 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 227900000X | Respiratory Therapist, Registered | 40763 | CA | Yes |
| 227800000X | Respiratory Therapist, Certified | 13993 | CA | |
| 2279P3900X | Respiratory Therapist, Registered, Neonatal/Pediatrics | – | CA |
Practice location
6170 Winterberry PlRancho Cucamonga, CA 91739-9098
Phone 951-897-7972
Mailing address
6170 Winterberry PlRancho Cucamonga, CA 91739-9098
Phone 951-897-7972
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