MEDICARE: RAYMOND DORIO MD HOME AND HOSPICE CARE INC

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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1518518208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAYMOND DORIO MD HOME AND HOSPICE CARE INC

Provider Business Mailing Address
First Line	:	24237 MAIN ST
Second Line	:
City	:	NEWHALL
State	:	CA
Zip	:	91321-2907
Country	:	US
Telephone Number	:	661-803-1863
Fax Number	:	661-255-8377

Provider Business Practice Location Address
First Line	:	24237 MAIN ST
Second Line	:
City	:	NEWHALL
State	:	CA
Zip	:	91321-2907
Country	:	US
Telephone Number	:	661-803-1863
Fax Number	:	661-255-8377

Authorized Official
Title or Position	:	CEO
Name	:	RAYMOND J DORIO
Credential	:	MD
Telephone Number	:	661-803-1863

Provider Enumeration Date	:	09/24/2019
Last Update Date	:	09/24/2019

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