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Organization

ROBERT A INNOCENZI D O INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT A INNOCENZI MD (PRESIDENT)
(909) 590-2073
Entity
Organization

Contact information

Practice address
13197 CENTRAL AVE, SUITE 101, CHINO, CA 91710-4178
(909) 590-2073
(909) 590-2457
Mailing address
13197 CENTRAL AVE STE 101, CHINO, CA 91710-4178
(909) 590-2073
(909) 590-2457

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
01/07/2008
Last updated
05/15/2019
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