Individual
DR. JOHN PAUL HENAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-4000
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
15209
NV
207L00000X
Anesthesiology Physician
254943
MA
207L00000X
Anesthesiology Physician
MD447752
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
144568
CA
207LP3000X
Pediatric Anesthesiology Physician
15209
NV
207LP3000X
Pediatric Anesthesiology Physician
254943
MA
207LP3000X
Pediatric Anesthesiology Physician
MD447752
PA
390200000X
Student in an Organized Health Care Education/Training Program
195115
PA
Other
Enumeration date
07/08/2010
Last updated
02/11/2022
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