Renteria, Robert

Renteria, Robert is an sole proprietor health care provider with primary practice located at 527 Garfield Ave , South Pasadena CA 91030-2210. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Renteria, Robert can be contacted via phone (323) 401-2425.

Contact Information

Primary practice address
527 Garfield Ave South Pasadena CA 91030-2210
Phone: (323) 401-2425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California

Profile Details

NPI number 1285220251
LBN Legal business name Renteria, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2020
Last updated Dec 14th, 2020 - about 6 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 1285220251 NPPES
California Other B5889258 DRIVERS LICENSE

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