RENATO L TOLOSA


Address: 1285 Lavender Ln, Hemet, CA 92545-8720
Phone: 9517659978

RENATO L TOLOSA (NPI# 1861697013) 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) 1861697013
Entity Type Individual
Full Name RENATO L TOLOSA
Credential IDC
Practice Address 1285 Lavender Ln
Hemet
CA 92545-8720
Practice Telephone 9517659978
Mailing Telephone 9517659978
Enumeration Date 2007-06-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address 1285 LAVENDER LN
City HEMET
State CA
Zip Code 92545-8720

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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427223916 Mark Dwayne Dykes Military Health Care Provider 700 Colorado Dr, Hemet, CA 92544 2008-04-25

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1770180648 Darius Lee Sean Woods Military Health Care Provider 6033 Sandy Shore Ct, San Diego, CA 92139-1014 2020-10-05
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1639782899 Tyler Collin Sparks Military Health Care Provider 1 Mrb, Camp Pendletion, CA 92055 2020-08-27
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Competitor

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City HEMET
Zip Code 92545

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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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