Healthcare Provider Details

I. General information

NPI: 1699612143
Provider Name (Legal Business Name): RUDOLPH NAPOLES CONTRERAS RN, MSN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5432 7TH AVE
LOS ANGELES CA
90043-2514
US

IV. Provider business mailing address

5432 7TH AVE
LOS ANGELES CA
90043-2514
US

V. Phone/Fax

Practice location:
  • Phone: 323-649-0031
  • Fax:
Mailing address:
  • Phone: 323-649-0031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95233576
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: