MEDICARE: CORAZON S NAVARRO MD

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	207V00000X	Obstetrics & Gynecology Physician	C41604	CA
2	207VC0200X	Critical Care Medicine (Obstetrics & Gynecology) Physician	C41604	CA
3	207VE0102X	Reproductive Endocrinology Physician	C41604	CA
4	207VG0400X	Gynecology Physician	C41604	CA
5	207VM0101X	Maternal & Fetal Medicine Physician	C41604	CA
6	207VX0000X	Obstetrics Physician	C41604	CA
7	207VX0201X	Gynecologic Oncology Physician	C41604	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821139650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORAZON S NAVARRO MD

Provider Business Mailing Address
First Line	:	4950 SAN BERNARDINO ST STE 106
Second Line	:
City	:	MONTCLAIR
State	:	CA
Zip	:	91763-2328
Country	:	US
Telephone Number	:	909-625-9063
Fax Number	:

Provider Business Practice Location Address
First Line	:	4950 SAN BERNARDINO ST STE 106
Second Line	:
City	:	MONTCLAIR
State	:	CA
Zip	:	91763-2328
Country	:	US
Telephone Number	:	909-625-9063
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	09/06/2007

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Directions to “ CORAZON S NAVARRO MD” Practice Location

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