Provider Demographics
NPI:1922178326
Name:BASSANO, DIONNE MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:DIONNE
Middle Name:MICHELLE
Last Name:BASSANO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8564 VIA AMORITA
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-2645
Mailing Address - Country:US
Mailing Address - Phone:562-861-0252
Mailing Address - Fax:562-861-0252
Practice Address - Street 1:8564 VIA AMORITA
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-2645
Practice Address - Country:US
Practice Address - Phone:562-861-0252
Practice Address - Fax:562-861-0252
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor