Provider Demographics
NPI:1093248296
Name:CORONA, JOSEPHINE FRANCINE (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:FRANCINE
Last Name:CORONA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6437 N VINICOLA DR
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-1926
Mailing Address - Country:US
Mailing Address - Phone:909-728-2868
Mailing Address - Fax:
Practice Address - Street 1:11883 AMETHYST RD
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-9224
Practice Address - Country:US
Practice Address - Phone:760-241-8000
Practice Address - Fax:760-381-8043
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA165591207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine