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ROBERTO ALONSO NP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1174690911
Individual Registrant: ROBERTO ALONSO NP
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1011 BALDWIN PARK BLVD BALDWIN PARK, CA 91706-5806 US
Tel: 626-851-1011 Fax: --
Tel: 626-851-1011 Fax: --
Contact information for business:
1011 BALDWIN PARK BLVD BALDWIN PARK, CA 91706-5806 US
Tel: 626-851-1011 Fax: --
Tel: 626-851-1011 Fax: --
Registration Information:
NPI: 1174690911
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | NP12880 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
