Corbisiero, Raffaele M
Corbisiero, Raffaele M is an sole proprietor health care provider with primary practice located at 210S Grand Ave 407 , Glendora CA 91741-4290. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Corbisiero, Raffaele M can be contacted via phone (626) 914-5051.Contact Information
Primary practice address
210S Grand Ave 407
Glendora CA 91741-4290
Phone: (626) 914-5051
Fax: (626) 914-5068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A48113 | California |
Profile Details
| NPI number | 1730172453 |
|---|---|
| LBN Legal business name | Corbisiero, Raffaele M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Aug 21st, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730172453 | NPPES |
| California | MEDICAID | 00A481131 |
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