Rada, Renato G

Rada, Renato G is an individual health care provider with primary practice located at 190 E Highland Ave , San Bernardino CA 92404-3658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rada, Renato G can be contacted via phone (909) 882-4968.

Contact Information

Primary practice address
190 E Highland Ave San Bernardino CA 92404-3658
Phone: (909) 882-4968
Fax: (877) 860-7268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A37714 California

Profile Details

NPI number 1699717306
LBN Legal business name Rada, Renato G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Mar 29th, 2018 - about 6 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 1699717306 NPPES
California MEDICAID 00A377140
California Other P01288545/DU4034
California Other 00A377140

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