Dionisio, Pettie

Dionisio, Pettie is an individual health care provider with primary practice located at 410 Camino Real , Redondo Beach CA 90277-3815. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dionisio, Pettie can be contacted via phone (310) 316-1212.

Contact Information

Primary practice address
410 Camino Real Redondo Beach CA 90277-3815
Phone: (310) 316-1212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 103311 California
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X California

Profile Details

NPI number 1174093108
LBN Legal business name Dionisio, Pettie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2018
Last updated Mar 3rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers