Individual
ISRAEL RALEIGH RENTERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 3RD ST, LA VERNE, CA 91750-5201
(909) 593-2581
Mailing address
1350 3RD ST, LA VERNE, CA 91750-5201
(909) 593-2581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
HWCXSDVBJMQNYRAT
CA
Other
Enumeration date
05/25/2011
Last updated
02/10/2025
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