Individual provider · Type 1 NPI

Bibiana Patricia Patino, MD

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

NPI number 1255283289 Active

Practice location

12810 Heacock St Ste B202
Moreno Valley, CA 92553-2873

Call (951) 247-6542 Map

Fax (951) 247-6959

Mailing address

12810 Heacock St. Ste B202
Moreno Valley, CA 92553-3165

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 1255283289

Bibiana Patricia Patino, MD's National Provider Identifier is 1255283289, issued on Feb 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moreno Valley, CA. The record was last updated on Feb 11, 2026.