ROGELIO DRENNING-MANRIQUEZ


Address: 49617 Cesar Chavez St Ste B, Coachella, CA 92236-1535
Phone: 7603983555

ROGELIO DRENNING-MANRIQUEZ (NPI# 1568689149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568689149
Entity Type Individual
Full Name ROGELIO DRENNING-MANRIQUEZ
Credential M.D.
Practice Address 49617 Cesar Chavez St Ste B
Coachella
CA 92236-1535
Practice Telephone 7603983555
Practice Fax Number 7604821277
Mailing Telephone 7603983555
Mailing Fax Number 7604821277
Enumeration Date 2007-04-18
Last Update Date 2020-04-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice G055833 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA G055833 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
6485 Day St Ste 201, Riverside, CA 925070926 9516974549 9516974286
34131 Date Palm Dr Ste F2, Cathedral City, CA 922346884 7607704600 7603211625
13560 Palm Dr, Desert Hot Springs, CA 922405912 7603291776 7602510316

Office Location

Street Address 49617 CESAR CHAVEZ ST STE B
City COACHELLA
State CA
Zip Code 92236-1535

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710518915 Phong Phan Pharmacist 84 010 Avenue 50, Coachella, CA 92236 2020-01-28
1518511500 Sally Mireles Counselor 84109 La Jolla, Coachella, CA 92236 2019-07-29
1174185318 Laura Castillo-dominguez Licensed Vocational Nurse 83113 Los Cabos Ave, Coachella, CA 92236 2019-07-08
1003390519 Jennifer Le Registered Nurse 49-111 Ca-111 #6a, Coachella, CA 92236 2018-09-20
1700302502 Latino Commission On Alcohol and Drug Abuse Services Marriage & Family Therapist 1612 First St., Coachella, CA 92236 2017-08-14
1467993279 Jose Ramon Ledezma Prosthetic/Orthotic Supplier 84475 Goya Dr, Coachella, CA 92236 2017-03-13
1144622432 Telecare Corporation Psychiatric Unit 49-708 Redondo Poniente, Coachella, CA 92236 2014-09-18
1851708762 Juanita Ferro Psychiatric Unit 52371 Dos Palmas, Coachella, CA 92236 2014-07-14
1932519964 Gloria Graham Family Medicine 50249 Harrison St, Coachella, CA 92236 2014-04-29
1326489121 Alma Elizabeth Guadarrama Hernandez Social Worker 49211 Grapefruit Blvd Ste 5&6, Coachella, CA 92236 2013-07-10
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1922611896 Daniel Lynn Johnson General Practice 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 2020-08-28
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Competitor

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City COACHELLA
Zip Code 92236

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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