ROBERT CORDOVA NP NPI 1043587819

NPI Information

  • NPI: 1043587819
  • Provider Name: ROBERT CORDOVA, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 NORTH STATE STREET
    CLINIC TOWER A4A
    LOS ANGELES, CA
    ZIP 90033
  • Phone: (562) 225-1231

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NPI Details

Robert Cordova, NP is a family nurse practitioner in Los Angeles, CA. Robert Cordova, NP NPI is 1043587819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 NORTH STATE STREET
CLINIC TOWER A4A
LOS ANGELES, CA
ZIP 90033
Phone: (562) 225-1231
Fax: (323) 441-8143

The NPI 1043587819 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/22/2011 and was last updated on 6/1/2020.

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
1363LF0000XNurse PractitionerFamilyNP21405CALIFORNIAYes

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: 3/30/2025

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