Provider Demographics
NPI:1285323360
Name:ONOFREI, RARES C (LAC)
Entity type:Individual
Prefix:
First Name:RARES
Middle Name:C
Last Name:ONOFREI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 CIRBY WAY APT 112
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-4266
Mailing Address - Country:US
Mailing Address - Phone:909-480-9139
Mailing Address - Fax:
Practice Address - Street 1:906 CIRBY WAY STE 150
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4475
Practice Address - Country:US
Practice Address - Phone:347-624-4999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC19529171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist