NPI 1073713962

Agnes B Kintanar, MD

Practitioner General Practice Physician San Bernardino, CA

Practice location

Address: 1292 W Mill St Suite 105, San Bernardino, CA 92410-2500
Phone: (909) 383-9440
Fax: (909) 383-9443

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence A38376 (CA)

Other General Practice providers in California →

Registry record

NPI: 1073713962
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2007
Record last updated: 17 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.