Individual
ADALBERTO RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1524 W LACEY BLVD, HANFORD, CA 93230-5965
(559) 537-0053
Mailing address
2100 DOUGLAS BLVD, ROSEVILLE, CA 95661-3804
(916) 865-1790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31454
AZ
207Q00000X
Family Medicine Physician
Primary
G65072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791914
—
AZ
Enumeration date
01/30/2006
Last updated
08/11/2014
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