Individual
JENNIFER PINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6177 RIVER CREST DR STE A, RIVERSIDE, CA 92507-0728
(951) 653-4480
(951) 653-5051
Mailing address
950 N DUESENBERG DR, ONTARIO, CA 91764-5934
(951) 818-2771
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
42016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42016
PT LICENSE
CA
Enumeration date
12/18/2014
Last updated
12/18/2014
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