Provider Demographics
NPI:1932153582
Name:RHONE, TERENCE P (DO)
Entity Type:Individual
Prefix:
First Name:TERENCE
Middle Name:P
Last Name:RHONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12900 PARK PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-9329
Mailing Address - Country:US
Mailing Address - Phone:562-741-4421
Mailing Address - Fax:562-741-4479
Practice Address - Street 1:141 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-8705
Practice Address - Country:US
Practice Address - Phone:909-296-8800
Practice Address - Fax:909-296-8928
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A6098207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
065759OtherHEALTH NET ID #
110161267OtherRAILROAD
CA00AX60980Medicaid
020A60980OtherBLUE SHIELD ID #
CAW20A6098FMedicare PIN
CAW20A6098JMedicare PIN
020A60980OtherBLUE SHIELD ID #
CAW20A6098LMedicare PIN
065759OtherHEALTH NET ID #
CA00AX60980Medicaid