Gentile, Mary Cecilia

Gentile, Mary Cecilia is an individual health care provider with primary practice located at 27699 Jefferson Ave # 312, Temecula CA 92590-2661. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gentile, Mary Cecilia can be contacted via phone (951) 676-4221.

Contact Information

Primary practice address
27699 Jefferson Ave # 312 Temecula CA 92590-2661
Phone: (951) 676-4221
Fax: (951) 676-0032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39870 Colorado

Profile Details

NPI number 1861480998
LBN Legal business name Gentile, Mary Cecilia
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 26th, 2012 - about 12 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 1861480998 NPPES
Colorado MEDICAID 89121228
Colorado Other 080178582

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