Bansuan, Rainer Guerra
Bansuan, Rainer Guerra is an sole proprietor health care provider with primary practice located at 3102 E Highland Ave , Patton CA 92369-7813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Bansuan, Rainer Guerra can be contacted via phone (909) 815-0965.Contact Information
Primary practice address
3102 E Highland Ave
Patton CA 92369-7813
Phone: (909) 815-0965
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | 207QA51021 | California |
Profile Details
| NPI number | 1336258037 |
|---|---|
| LBN Legal business name | Bansuan, Rainer Guerra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Apr 18th, 2021 - about 3 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336258037 | NPPES |
| California | MEDICAID | 00A510212 |
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