Robert Hennessy
Robert Hennessy is a Family Practice in Corona, California. Graduated from Baylor College of Medicine in 1977, 49 years ago. Practices as a sole proprietor. Licensed in California.
- Years since qualifying
- 49
- Trained at
- Baylor College of Medicine
- Licensed in
- CA
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
3593 Arboretum CirCorona, CA 92881-3973
Phone: (714) 943-5015
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A114538 (CA) |
|---|---|
| Occupational Medicine Physician | Taxonomy 2083X0100X · Licence A114538 (CA) |
Record details
| NPI number | 1699765412 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 24, 2005 |
| Last updated in NPPES | April 7, 2020 |
| Certification date | April 7, 2020 |
| Mailing address | 3593 Arboretum Cir, Corona, CA 92881-3973 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | BAYLOR COLLEGE OF MEDICINE |
| Graduated | 1977 (49 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Corona
-
Precision Health Consulting & Clinic
760 S Washburn Ave Ste 22, Corona, CA 92882-3303 · (951) 339-8000