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General NPI Number Information
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NPI Number | 1982584918
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Entity Type | Individual
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Provider Name | MICHELLE CHRISTINA CORRAL AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 100 UCLA MEDICAL PLZ STE 700
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City | LOS ANGELES
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State | CA
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Zip | 90024-6997
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Country | US
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Telephone | 310-267-9099
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Fax |
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Provider Business Mailing Address
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Address Line | 5767 W CENTURY BLVD STE 400
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City | LOS ANGELES
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State | CA
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Zip | 90045-5631
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | NP95036018
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License Number State | CA
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