ANGELIA IVE DECIERDO GONZALAES NPI 1194408948

NPI Information

NPI: 1194408948
Provider Name: ANGELIA IVE DECIERDO GONZALAES
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

Address:
1115 S SUNSET AVE
WEST COVINA, CA
ZIP 91790
Phone: (626) 962-4011
Get Directions

Angelia Ive Decierdo Gonzalaes is an administrator registered nurse in West Covina, CA. Angelia Ive Decierdo Gonzalaes NPI is 1194408948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1115 S SUNSET AVE
WEST COVINA, CA
ZIP 91790-940
Phone: (626) 962-4011

The enumeration date for this NPI number is 8/9/2023 and was last updated on 8/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA2000X	Registered Nurse	Administrator	N4600	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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