Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 38667 | CA |
Y | 213EG0000X | General Practice | 38667 | CA |
NPI | 1003837774 |
---|---|
Provider Name | Mr. Rene Narciso Del Rosario |
First Address | Union City, CA 94587-1720 |
Second Address | Union City, CA 94587-1720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 08/07/2007 |