Provider Demographics
NPI:1730216904
Name:PAMINTUAN, ALMEDO BACANI JR (CATC)
Entity type:Individual
Prefix:MR
First Name:ALMEDO
Middle Name:BACANI
Last Name:PAMINTUAN
Suffix:JR
Gender:M
Credentials:CATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1357 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-5811
Mailing Address - Country:US
Mailing Address - Phone:619-588-1989
Mailing Address - Fax:619-588-6282
Practice Address - Street 1:1357 BROADWAY
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-5811
Practice Address - Country:US
Practice Address - Phone:619-588-1989
Practice Address - Fax:619-588-6282
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA370069BN101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)