Healthcare Provider Details

I. General information

NPI: 1427738236
Provider Name (Legal Business Name): MARGARET MARIE CORONA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13820 SAN ANTONIO DR
NORWALK CA
90650-4033
US

IV. Provider business mailing address

3201 YORBA LINDA BLVD APT 150
FULLERTON CA
92831-1762
US

V. Phone/Fax

Practice location:
  • Phone: 562-944-2181
  • Fax:
Mailing address:
  • Phone: 714-829-6211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95022957
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: