Provider Demographics
NPI:1427021229
Name:AQUINO, JOSEFINA A (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEFINA
Middle Name:A
Last Name:AQUINO
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 1:1995 ZINFANDEL DR
Mailing Address - Street 2:201
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-2862
Mailing Address - Country:US
Mailing Address - Phone:916-852-6001
Mailing Address - Fax:916-852-6007
Practice Address - Street 1:1995 ZINFANDEL DR
Practice Address - Street 2:201
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-2862
Practice Address - Country:US
Practice Address - Phone:916-852-6001
Practice Address - Fax:916-852-6007
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA69691207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A696910Medicare ID - Type Unspecified
CAG50773Medicare UPIN