De La Rosa, Renato

De La Rosa, Renato is an individual health care provider with primary practice located at 754 Medical Center Ct Ste 103 , Chula Vista CA 91911-6655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. De La Rosa, Renato can be contacted via phone (619) 397-5001.

Contact Information

Primary practice address
754 Medical Center Ct Ste 103 Chula Vista CA 91911-6655
Phone: (619) 397-5001
Fax: (619) 397-4460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A65330 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A65330 California

Profile Details

NPI number 1114966777
LBN Legal business name De La Rosa, Renato
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 20th, 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 1114966777 NPPES
California MEDICAID 00A653300

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