Provider Demographics
NPI:1336212257
Name:DR. ROMMEL B. GUINTO, DC INC.
Entity Type:Organization
Organization Name:DR. ROMMEL B. GUINTO, DC INC.
Other - Org Name:DR. ROMMEL B. GUINTO, DC INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMMEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:GUINTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-921-9940
Mailing Address - Street 1:4253 REDONDO BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-3341
Mailing Address - Country:US
Mailing Address - Phone:310-921-9940
Mailing Address - Fax:310-921-9941
Practice Address - Street 1:4253 REDONDO BEACH BLVD
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-3341
Practice Address - Country:US
Practice Address - Phone:310-921-9940
Practice Address - Fax:310-921-9941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27235111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC 0272350Medicaid
CADC 0272350Medicaid
CADC27235Medicare ID - Type Unspecified