DR. JUSTINA M BRESENO MD NPI 1558454355

NPI Information

DR. Justina M Breseno, MD is a pediatrics in Riverside, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Justina M Breseno, MD NPI is 1558454355. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6485 DAY ST
SUITE 103
RIVERSIDE, CA
ZIP 92507-929
Phone: (714) 777-2593

The CLIA number assigned to this NPI record is 05D1062440 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/8/2007.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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