Individual provider · Type 1 NPI

Javier De la Rosa Jr., MD

Student in an Organized Health Care Education/Training Program · Fontana, CA

NPI number 1033798780 Active

Practice location

9961 Sierra Ave
Fontana, CA 92335-6720

Call (833) 574-2273 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033798780

Javier De la Rosa Jr., MD's National Provider Identifier is 1033798780, issued on Apr 7, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fontana, CA. The record was last updated on Dec 3, 2021.