John Regis Minotti, M.D.
Internal Medicine, Cardiovascular Disease in Lakeport, CA. Individual provider (NPI-1).
NPI number1932107828
StatusActive
Last updated in NPPESMar 9, 2020
Details
- NPI
- 1932107828
- Entity type
- Individual (NPI-1)
- Name
- John Regis Minotti
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2005
- Certification date
- Mar 9, 2020
- Last updated
- Mar 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | C39966 | CA | Yes |
| 207RI0011X | Internal Medicine, Interventional Cardiology | C39966 | CA |
Practice location
801 11th StLakeport, CA 95453-4100
Phone 707-263-3746
Mailing address
801 11th StLakeport, CA 95453-4100
Phone 707-263-3746
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Other Cardiovascular Disease Physician providers in Lakeport, CA
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All 6 Cardiovascular Disease Physician providers in Lakeport · All 494 providers in Lakeport
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