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JOSE DALPRAT A PROFESSIONAL MEDICAL CORPORATION NPI 1821599804


NPI Information

NPI: 1821599804
Provider Name: JOSE DALPRAT A PROFESSIONAL MEDICAL CORPORATION

Doing Business As: REJUVENATE WELLNESS AND HEALTH CENTER

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 05D2154655

Address:
6025 N FIGUEROA ST STE B
LOS ANGELES, CA
ZIP 90042
Phone: (323) 507-2311
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JOSE DALPRAT A PROFESSIONAL MEDICAL CORPORATION is a family nurse practitioner in Los Angeles, CA. JOSE DALPRAT A PROFESSIONAL MEDICAL CORPORATION NPI is 1821599804. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rejuvenate Wellness And Health Center.

The provider's business location address is:

6025 N FIGUEROA ST STE B
LOS ANGELES, CA
ZIP 90042-365
Phone: (323) 507-2311
Fax: (323) 621-6188

The provider's authorized official is Rebeca E Cuatro .
The authorized official title is Vice President And Secretary, and has the following contact phone number (323) 507-2311.

The CLIA number assigned to this NPI record is 05D2154655 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2018 and was last updated on 2/23/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20A11851CALIFORNIANo
2363LF0000XNurse PractitionerFamily22666CALIFORNIAYes

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: 4/28/2024

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