# ROBERT A INNOCENZI D O INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942485115
- **Authorized official:** ROBERT A INNOCENZI MD (PRESIDENT)
- **Authorized official phone:** (909) 590-2073

## Contact information

- **Practice address:** 13197 CENTRAL AVE, SUITE 101, CHINO, CA 91710-4178
- **Practice address phone:** (909) 590-2073
- **Practice address fax:** (909) 590-2457
- **Mailing address:** 13197 CENTRAL AVE STE 101, CHINO, CA 91710-4178
- **Mailing address phone:** (909) 590-2073
- **Mailing address fax:** (909) 590-2457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2008
- **Last updated:** 05/15/2019