Hernandez, Raul Manuel
Hernandez, Raul Manuel is an individual health care provider with primary practice located at 851 W Foothill Blvd Ste 101 , Rialto CA 92376-4731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hernandez, Raul Manuel can be contacted via phone (909) 873-3876.Contact Information
Primary practice address
851 W Foothill Blvd Ste 101
Rialto CA 92376-4731
Phone: (909) 873-3876
Fax: (909) 873-3875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A50128 | California |
Profile Details
| NPI number | 1114016458 |
|---|---|
| LBN Legal business name | Hernandez, Raul Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Mar 6th, 2014 - about 10 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 | 1114016458 | NPPES |
| California | MEDICAID | 00A501280 |
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