Bansuan, Rainer Guerra

Bansuan, Rainer Guerra is an sole proprietor health care provider with primary practice located at 3102 E Highland Ave , Patton CA 92369-7813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Bansuan, Rainer Guerra can be contacted via phone (909) 815-0965.

Contact Information

Primary practice address
3102 E Highland Ave Patton CA 92369-7813
Phone: (909) 815-0965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 207QA51021 California

Profile Details

NPI number 1336258037
LBN Legal business name Bansuan, Rainer Guerra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Apr 18th, 2021 - about 5 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 1336258037 NPPES
California MEDICAID 00A510212

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