Renato De La Rosa Md Inc

LBN: Renato De La Rosa Md Inc
Renato De La Rosa Md Inc is an health care organization with primary practice located at 754 Medical Center Ct Ste 103 , Chula Vista CA 91911-6655. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Renato De La Rosa Md Inc can be contacted via phone (619) 397-5001, or through De La Rosa, Renato via phone (619) 397-5001.

Contact Information

Primary practice address
754 Medical Center Ct Ste 103 Chula Vista CA 91911-6655
Fax: (619) 397-4460
Website:
Authorized official contact:
Name: De La Rosa, Renato

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A65330 California

Profile Details

NPI number 1073867297
LBN Legal business name Renato De La Rosa Md Inc
DBA Doing business as
Authorized official De La Rosa, Renato
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2012
Last updated Oct 20th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073867297 NPPES
California MEDICAID 00A653300

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