Caivano, Resa Renay

Caivano, Resa Renay is an individual health care provider with primary practice located at 1855 N Fair Oaks Ave Suite 200, Pasadena CA 91103-1620. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Caivano, Resa Renay can be contacted via phone (626) 398-6300.

Contact Information

Primary practice address
1855 N Fair Oaks Ave Suite 200 Pasadena CA 91103-1620
Phone: (626) 398-6300
Fax: (626) 204-0086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C54520 California

Profile Details

NPI number 1780748624
LBN Legal business name Caivano, Resa Renay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Nov 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 1780748624 NPPES
California MEDICAID 1871689315

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