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Organization

RENATO DE LA ROSA MD INC

Active
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Organization

RENATO DE LA ROSA MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENATO DE LA ROSA (MD)
(619) 397-5001
Entity
Organization

Contact information

Practice address
754 MEDICAL CENTER CT STE 103, CHULA VISTA, CA 91911-6655
(619) 397-5001
(619) 397-4460
Mailing address
754 MEDICAL CENTER CT STE 103, CHULA VISTA, CA 91911-6655
(619) 397-5001
(619) 397-4460

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A65330
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A653300
—
CA
Enumeration date
11/09/2012
Last updated
10/20/2021
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