Individual
DR. ISMAEL B NACINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2445 W WHITTIER BLVD STE 100, MONTEBELLO, CA 90640
(323) 727-2550
Mailing address
12543 WINERY DR, RANCHO CUCAMONGA, CA 91739-8834
(909) 899-7413
(909) 899-1043
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A44650
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A446500
—
CA
Enumeration date
09/20/2006
Last updated
10/29/2019
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