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NPI Code Detail

MEDICARE: CORINNE DEL ROSARIO MSN, FNP-C

MEDICARE:   CORINNE  DEL ROSARIO  MSN, FNP-C
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
1363LF0000XFamily Nurse Practitioner16700CA

General Provider Information

NPI Number : 1871758912
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINNE DEL ROSARIO MSN, FNP-C
Provider Business Mailing Address
First Line : 200 MEDICAL PLZ STE 165-41
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10833 LE CONTE AVE
Second Line : BOX 951738
City : LOS ANGELES
State : CA
Zip : 90095-1738
Country : US
Telephone Number : 310-206-6766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2008
Last Update Date : 06/19/2013

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Directions to “ CORINNE DEL ROSARIO MSN, FNP-C” Practice Location

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