MR. ROBERTO RECILLAS NPI 1710169750

NPI Information

MR. Roberto Recillas is a voluntary or charitable in Hawthorne, CA. MR. Roberto Recillas NPI is 1710169750. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1675 PO BOX
HAWTHORNE, CA
ZIP 90251
Phone: (323) 482-9669
Fax: (323) 541-1107

The enumeration date for this NPI number is 11/30/2007 and was last updated on 12/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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