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NPI Code Detail

MEDICARE: MR. RIGOBERTO A FINO LCSW

MEDICARE:  MR. RIGOBERTO A FINO  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker27293CA

General Provider Information

NPI Number : 1174684997
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RIGOBERTO A FINO LCSW
Provider Business Mailing Address
First Line : 444 ROYAL OAKS DR
Second Line :
City : VACAVILLE
State : CA
Zip : 95687-5022
Country : US
Telephone Number : 707-455-7606
Fax Number : 707-455-7604
Provider Business Practice Location Address
First Line : 444 ROYAL OAKS DR
Second Line :
City : VACAVILLE
State : CA
Zip : 95687-5022
Country : US
Telephone Number : 707-455-7606
Fax Number : 707-455-7604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 10/10/2011

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Directions to “ MR. RIGOBERTO A FINO LCSW” Practice Location

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