Individual
DR. ROBERT A INNOCENZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13197 CENTRAL AVE, SUITE 101, CHINO, CA 91710-4178
(909) 590-2073
(909) 590-2457
Mailing address
13197 CENTRAL AVE, SUITE 101, CHINO, CA 91710-4178
(909) 590-2073
(909) 590-2457
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20A5773
CA
Other
Enumeration date
07/25/2006
Last updated
11/06/2007
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