Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A103256 | CA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | A103256 | CA |
NPI | 1093973018 |
---|---|
Provider Name | Stephen Paul Del Rosario Tinio |
First Address | Escondido, CA 92025-4249 |
Second Address | Oceanside, CA 92056-3627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 11/01/2021 |