MEDICARE: RODOLFO PERNIA CASTRO NP

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
1	363LF0000X	Family Nurse Practitioner	20135	CA

General Provider Information

NPI Number	:	1689984320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODOLFO PERNIA CASTRO NP

Provider Business Mailing Address
First Line	:	618 WEST DRYDEN ST.
Second Line	:	APT 204
City	:	GLENDALE
State	:	CA
Zip	:	91202-3303
Country	:	US
Telephone Number	:	626-839-9100
Fax Number	:	626-839-9106

Provider Business Practice Location Address
First Line	:	1523 EAST AMAR ROAD
Second Line	:	SUITE #2
City	:	WEST COVINA
State	:	CA
Zip	:	91792-1619
Country	:	US
Telephone Number	:	626-839-9100
Fax Number	:	626-839-9106

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2010
Last Update Date	:	10/15/2010

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1538242763 — GIA D LE MD INC
Practice Location Address:

1523 E AMAR RD , STE F
WEST COVINA, CA
91792-1619

Practice Phone: 626-839-9100
Practice Fax:

1275739666 — NOEMI TOLENTINO BAUTISTA D.M.D.
Practice Location Address:

1541 E AMAR RD
WEST COVINA, CA
91792-1619

Practice Phone: 626-336-3715
Practice Fax:

1710115456 — RAYMUNDO S. BAUTISTA M.D. APC
Practice Location Address:

1523 E AMAR RD , SUITE D
WEST COVINA, CA
91792-1619

Practice Phone: 626-839-9100
Practice Fax: 626-839-9106

1679701320 — ALEX MORENO, M.D., MEDICAL GROUP, INC
Practice Location Address:

1523 E AMAR RD , SUITE E
WEST COVINA, CA
91792-1619

Practice Phone: 626-839-9100
Practice Fax: 626-839-9106

1922231117 — ABSOLUTE PHYSICAL THERAPY, INC.
Practice Location Address:

1523 E AMAR RD
WEST COVINA, CA
91792-1619

Practice Phone: 626-839-9100
Practice Fax: 626-839-9106

Directions to “ RODOLFO PERNIA CASTRO NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.