Provider Demographics
NPI:1003008053
Name:TOLENTINO, NATY MADARIAGA (MD)
Entity Type:Individual
Prefix:
First Name:NATY
Middle Name:MADARIAGA
Last Name:TOLENTINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NATY
Other - Middle Name:JALOSJOS
Other - Last Name:MADARIAGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:FIFTH STREET & WESTERN AVENUE
Mailing Address - Street 2:CALIFORNIA REHABILITATION CENTER
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-0991
Mailing Address - Country:US
Mailing Address - Phone:951-737-2683
Mailing Address - Fax:951-273-2318
Practice Address - Street 1:FIFTH STREET & WESTERN AVENUE
Practice Address - Street 2:CALIFORNIA REHABILITATION CENTER
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-0991
Practice Address - Country:US
Practice Address - Phone:951-737-2683
Practice Address - Fax:951-273-2318
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38545207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine