Healthcare Provider Details

I. General information

NPI: 1265349203
Provider Name (Legal Business Name): PAULINA NAVARRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 169
COVINA CA
91723-0169
US

IV. Provider business mailing address

PO BOX 169
COVINA CA
91723-0169
US

V. Phone/Fax

Practice location:
  • Phone: 909-561-6186
  • Fax:
Mailing address:
  • Phone: 909-561-6186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95036354
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: