| Doctor Name: | VIORICA BANTEA |
| NPI Number: | 1346254216 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PA14564 |
| Business Practice Address: | 6137 Watt Ave Ste 5 North Highlands, CA - 956604291 |
| Business Phone Number: | 9163392229 |
| Business Fax Number: | 9163392609 |
| Mailing Address: | 3441 Marysville Blvd, SACRAMENTO |
| State: | CA |
| Postal Code: | 958384512 |
| Phone Number: | 9165637200 |
| Fax Number: | 9165637229 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA14564 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |