Mr. Eric Fernando Raigosa
Rehabilitation Practitioner
354 S Siesta Ave
La Puente
, California 91746-2535
Mr. Eric Fernando Raigosa
Rehabilitation Practitioner
354 S Siesta Ave
La Puente
, California 91746-2535
(626) 890-8790
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Mr. Eric Fernando Raigosa
- 354 South Siesta Avenue
- La Puente, CA
- Zip : 91746
- Phone : (626) 890-8790
Second Address
- Mr. Eric Fernando Raigosa
- 354 S Siesta Ave
- La Puente, CA
- Zip : 91746-2535
- Phone : (626) 890-8790
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1023248150 |
|---|---|
| Provider Name | Mr. Eric Fernando Raigosa |
| First Address | La Puente, CA 91746 |
| Second Address | La Puente, CA 91746-2535 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2009 |
| Last Update Date | 23/07/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.