Organization Name: | RISE MEDICAL CENTER A PROFESSIONAL CORPORATION |
NPI Number: | 1326378100 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE CANDELARIO (OWNER) |
Mailing Address: | 5030 Bonita Rd Suite B Bonita |
State: | CA US |
Postal Code: | 919021700 |
Phone Number: | 6194797473 |
Fax Number: | 6194799376 |
NPI Enumeration Date: | 12/30/2009 |
NPI Last Update Date: | 01/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A73257 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |