Provider Demographics
NPI:1801129846
Name:NAVARRO, OSWALDO RENE
Entity type:Individual
Prefix:
First Name:OSWALDO
Middle Name:RENE
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92570-2071
Mailing Address - Country:US
Mailing Address - Phone:951-345-9074
Mailing Address - Fax:
Practice Address - Street 1:449 W 3RD ST
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92570-2071
Practice Address - Country:US
Practice Address - Phone:951-345-9074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool