Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A38545 | CA |
Y | 111NI0900X | Internist | A38545 | CA |
NPI | 1003008053 |
---|---|
Provider Name | Naty Madariaga Tolentino |
First Address | Norco, CA 92860-0991 |
Second Address | Norco, CA 92860-0991 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2007 |
Last Update Date | 14/08/2007 |