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General NPI Number Information
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NPI Number | 1831997907
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Entity Type | Organization
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Legal Business Name | CALIFORNIA PHYSICAL EXAMS, A NURSING PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 2212 PARK VISTA LN
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City | CHINO HILLS
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State | CA
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Zip | 91709-1773
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Country | US
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Telephone | 951-796-7936
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Fax |
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Provider Business Mailing Address
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Address Line | 23972 BLUE RIDGE PL
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City | MORENO VALLEY
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State | CA
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Zip | 92557-2941
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | KURT DRITLEIN
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Credential |
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Telephone | 951-796-7936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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