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NPI Code Detail

MEDICARE: JOAN BONGUIT RATKAY

MEDICARE:   JOAN BONGUIT RATKAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1167G00000XLicensed Psychiatric TechnicianCA

General Provider Information

NPI Number : 1811875834
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN BONGUIT RATKAY
Provider Business Mailing Address
First Line : 401 S TUSTIN ST BLDG D
Second Line :
City : ORANGE
State : CA
Zip : 92866-2550
Country : US
Telephone Number : 714-289-3936
Fax Number :
Provider Business Practice Location Address
First Line : 401 S TUSTIN ST BLDG D
Second Line :
City : ORANGE
State : CA
Zip : 92866-2550
Country : US
Telephone Number : 714-289-3936
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2025
Last Update Date : 12/05/2025

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Directions to “ JOAN BONGUIT RATKAY ” Practice Location

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