National Provider Identifier Database

JORGE L GERONIMO DDS PROF DENTAL CORP
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

JORGE L. GERONIMO, DDS PROF. DENTAL CORP.
9720 MAGNOLIA AVE SUITE #100
RIVERSIDE, CA92503
Phone: 951-696-3663
Fax: 951-696-3887
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for JORGE L. GERONIMO, DDS PROF. DENTAL CORP.

NPI Number 1265809065
Legal business name
LBN
JORGE L. GERONIMO, DDS PROF. DENTAL CORP.
Authorized official JORGE GERONIMO - (DENTIST)
Entity Organization
Organization subpart Yes
Enumeration date 08/27/2015
Last updated 01/03/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 47897

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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