Basic Information
Provider Information
NPI: 1982189924
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALINDOGAN
FirstName: DENNIS
MiddleName: BENEDICTO
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7505 BLYTHE PL
Address2:  
City: RANCHO CUCAMONGA
State: CA
PostalCode: 917399170
CountryCode: US
TelephoneNumber: 6268027792
FaxNumber:  
Practice Location
Address1: 13652 CANTARA ST
Address2:  
City: PANORAMA CITY
State: CA
PostalCode: 914025423
CountryCode: US
TelephoneNumber: 8183752000
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/26/2018
LastUpdateDate: 09/26/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2278C0205X20989CAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedCritical Care

No ID Information.


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