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Contact Information

MILAGROS TOLENTINO, MD
15666 18TH AVE
CLEARLAKE, CA95422
 Phone: 707-994-9469
 Fax: 707-994-8758
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MILAGROS TOLENTINO · (Female)

NPI Number 1245212505
Status Active
Credentials MD
Entity Individual
Enumeration date 11/14/2005
Last updated 11/16/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A31830
  • CA Medicaid 00A318300
  • CA Other A31830 BLUE CROSS OF CALIFORNIA
  • CA Other 00A318300 BLUE SHIELD OF CALIFORNIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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