Pesavento, Richard Dominic

Pesavento, Richard Dominic is an individual health care provider with primary practice located at 9041 Magnolia Ave Suite 207, Riverside CA 92503-3900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Pesavento, Richard Dominic can be contacted via phone (951) 788-0222.

Contact Information

Primary practice address
9041 Magnolia Ave Suite 207 Riverside CA 92503-3900
Phone: (951) 788-0222
Fax: (951) 784-2696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G44858 California

Profile Details

NPI number 1396721635
LBN Legal business name Pesavento, Richard Dominic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated May 27th, 2011 - about 14 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 1396721635 NPPES
California MEDICAID 00G448580

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