Agnes B Kintanar in San Bernardino - General Practice

Agnes B Kintanar - NPI 1073713962

Agnes B Kintanar is a General Practice in San Bernardino, California. Agnes B Kintanar practices all healthcare services and medical treatments related to General Practice. The NPI Number for Agnes B Kintanar is 1073713962. The last update date is 2016-11-17.

Agnes B Kintanar's current location address is 1292 W Mill St, San Bernardino, California. You can contact this provider via phone number 9093839440 and fax number 9093839443. The mailing address for Agnes B Kintanar is 1292 W Mill St, San Bernardino, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Agnes B Kintanar
Address 1292 W Mill St, San Bernardino, California
Phone Number 9093839440
Fax Number 9093839443
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1073713962
Provider Enumeration Date 2007-07-19
Last Updated Date 2016-11-17

Provider Mailing Address Detail

Address 1292 W Mill St
City San Bernardino
State California (CA)
Post Code 924102500
Phone Number 9093839440
Fax Number 9093839443

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No A38376
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A383761 CA --
00A383760 CA --

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FAQs about Agnes B Kintanar

What is the unique 10-digit identifier code issued to Agnes B Kintanar by the Centers for Medicare & Medicaid Services?

The Agnes B Kintanar has been assigned the NPI (National Provider Identifier) 1073713962 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Agnes B Kintanar's facilities are geographically located?

The facilities of Agnes B Kintanar are physically situated at the following location: 1292 W Mill St, San Bernardino, CA, 924102500.

What is Agnes B Kintanar's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Agnes B Kintanar is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.

On what date was the 1073713962 assigned to Agnes B Kintanar?

The Agnes B Kintanar was issued its 1073713962 on 2007-07-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Agnes B Kintanar's details last updated?

The information pertaining to the Agnes B Kintanar, including its address, specialty, and other details, was most recently updated on 2016-11-17.

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