Provider Demographics
NPI:1952442626
Name:PATANIA, RHINA ARLENE (DC)
Entity Type:Individual
Prefix:
First Name:RHINA
Middle Name:ARLENE
Last Name:PATANIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:RHINA
Other - Middle Name:ARLENE
Other - Last Name:ALEGRIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 2385
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-0085
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1350 VEALE AVE
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-2064
Practice Address - Country:US
Practice Address - Phone:510-780-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23192111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU55986Medicare UPIN