Provider Information for 1740736404
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Dr. CIRO VISONE PsyD
Sex: Male
NPI: 1740736404
Last Updated: 2023-10-23
Certification Date: 2023-10-23
Certification Date: 2023-10-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1740736404 | ||||||||||||
| Enumeration Date | 2016-08-31 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 255 E BONITA AVE POMONA, CA 91767-1933 United States Phone: 909-596-7733 | Fax: | ||||||||||||
| Primary Practice Address | 255 E BONITA AVE POMONA, CA 91767-1933 United States Phone: 909-596-7733 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|