Ken Iven Bantol

PMHNP-BC | Nurse Practitioner - Psych/Mental Health

Ken Iven Bantol is a Granada Hills, California based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Ken Iven Bantol is 95027351 for Psych/Mental Health in California. His current practice location is 10400 Gloria Ave, Granada Hills. Patients can reach him at 818-867-0500. Ken Iven Bantol is PMHNP-BC with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1841055811.
Ken Iven Bantol provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.

Complete Profile:
Ken Iven Bantol speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Ken Iven Bantol
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Male
Credentials: PMHNP-BC
Practice Address:10400 Gloria Ave, Granada Hills,
California, 91344-7123
Phone:818-867-0500
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1841055811
NPI Enumeration Date: 19 Feb, 2024
NPI Last Update On: 19 Feb, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ken Iven Bantol are as mentioned below.
License NumberSpecializationStateStatus
95027351Psych/Mental Health CaliforniaPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ken Iven Bantol such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
95027351OtherCaliforniaNURSE PRACTITIONER FURNISHING
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Ken Iven Bantol
10400 Gloria Ave,
Granada Hills, California
Zip: 91344-7123
Patients can reach Ken Iven Bantol at 10400 Gloria Ave, Granada Hills, California or can call to book an appointment on 818-867-0500.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.