Jorge L. Geronimo, Dds Prof. Dental Corp.

LBN: Jorge L. Geronimo, Dds Prof. Dental Corp.
Jorge L. Geronimo, Dds Prof. Dental Corp. is an health care organization with primary practice located at 9720 Magnolia Ave Suite #100 , Riverside CA 92503. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Jorge L. Geronimo, Dds Prof. Dental Corp. can be contacted via phone (951) 696-3663, or through Geronimo, Jorge Luis via phone (714) 267-6400.

Contact Information

Primary practice address
9720 Magnolia Ave Suite #100 Riverside CA 92503
Phone: (951) 696-3663
Fax: (951) 696-3887
Website:
Map and Directions
Authorized official contact:
Name: Geronimo, Jorge Luis Doctor of Dental Surgery (DDS)
Phone: (714) 267-6400

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 47897 California

Profile Details

NPI number 1265809065
LBN Legal business name Jorge L. Geronimo, Dds Prof. Dental Corp.
DBA Doing business as
Authorized official Geronimo, Jorge Luis Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 27th, 2015
Last updated Jan 3rd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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