Individual
VICENTE PIERANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-3910
(626) 405-6768
Mailing address
393 E WALNUT ST, 3RD FLOOR - PHR SYSTEMS, PASADENA, CA 91188-0001
(626) 405-7914
(626) 405-6768
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G54108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G541080
MEDICAL PIN
CA
Enumeration date
07/09/2007
Last updated
07/09/2007
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