Individual
CESAR-MICHAEL PASCUAL RAFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
60-283201
NY
2084P0800X
Psychiatry Physician
Primary
A116451
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2009
Last updated
03/30/2016
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