MEDICARE: ADRIANA PEREDA MORGA NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	95001394	CA

General Provider Information

NPI Number	:	1508261751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA PEREDA MORGA NP

Provider Business Mailing Address
First Line	:	2133 W BEVERLY BLVD
Second Line	:	STE. 200
City	:	MONTEBELLO
State	:	CA
Zip	:	90640-3973
Country	:	US
Telephone Number	:	323-201-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2133 W BEVERLY BLVD
Second Line	:	STE. 200
City	:	MONTEBELLO
State	:	CA
Zip	:	90640-3973
Country	:	US
Telephone Number	:	323-201-5200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2014
Last Update Date	:	01/29/2015

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