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NPI Code Detail

MEDICARE: NAOMI CASTRO TALEON LVN

MEDICARE: NAOMI CASTRO TALEON LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational NurseVN185154CA

General Provider Information

NPI Number : 1427232743
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI CASTRO TALEON LVN
Provider Business Mailing Address
First Line : 1779 W PHILLIPS DR
Second Line :
City : PHILLIPS RANCH
State : CA
Zip : 91766-1104
Country : US
Telephone Number : 909-868-0349
Fax Number :
Provider Business Practice Location Address
First Line : 223 E ROWLAND ST
Second Line :
City : COVINA
State : CA
Zip : 91723-3147
Country : US
Telephone Number : 626-332-3145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2007
Last Update Date : 12/21/2007

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