Basic Information
Provider Information
NPI: 1932153582
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RHONE
FirstName: TERENCE
MiddleName: P.
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12900 PARK PLAZA DR
Address2:  
City: CERRITOS
State: CA
PostalCode: 907039329
CountryCode: US
TelephoneNumber: 5627414421
FaxNumber: 5627414479
Practice Location
Address1: 141 W FOOTHILL BLVD
Address2:  
City: UPLAND
State: CA
PostalCode: 917868705
CountryCode: US
TelephoneNumber: 9092968800
FaxNumber: 9092968928
Other Information
ProviderEnumerationDate: 05/19/2006
LastUpdateDate: 08/15/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X20A6098CAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


Home