Cervantes, Raul

Cervantes, Raul is an individual health care provider with primary practice located at 303 E Vanderbilt Way , San Bernardino CA 92415-0026. He recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as his primary health care specialty. Cervantes, Raul can be contacted via phone (903) 987-7200.

Contact Information

Primary practice address
303 E Vanderbilt Way San Bernardino CA 92415-0026
Phone: (903) 987-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 291623 California

Profile Details

NPI number 1497465652
LBN Legal business name Cervantes, Raul
Credentials LVN II
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2022
Last updated Nov 29th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497465652 NPPES
California MEDICAID J6203

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