Christian Custodio, FNP is a primary care nurse practitioner in Pomona, CA. Christian Custodio, FNP NPI is 1811502404. 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:
1196 N PARK AVE
POMONA, CA
ZIP 91768-027
Phone: (909) 623-4050
The NPI 1811502404 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 9/10/2020 and was last updated on 9/10/2020.