| Dr Denise Persichino Do Inc | |
|
10737 Laurel St Ste 230 Rancho Cucamonga CA 91730-7659 | |
| (909) 435-0899 | |
| Not Available |
| Full Name | Dr Denise Persichino Do Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 10737 Laurel St Ste 230, Rancho Cucamonga, California |
| Authorized Official Name and Position | Denise Persichino (OWNER) |
| Authorized Official Contact | 9094350899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Denise Persichino Do Inc 10737 Laurel St Ste 230 Rancho Cucamonga CA 91730-7659 Ph: (909) 435-0899 | Dr Denise Persichino Do Inc 10737 Laurel St Ste 230 Rancho Cucamonga CA 91730-7659 Ph: (909) 435-0899 |
| NPI Number | 1033990130 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 10/13/2023 |
| Certification Date | 10/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033990130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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