Individual provider · Type 1 NPI

Jose L. Corrales Romero

Nurse Practitioner · Los Angeles, CA

NPI number 1053908863 Active

Practice location

510 S Alvarado St
Los Angeles, CA 90057-2904

Mailing address

6159 Main St
South Gate, CA 90280-7923

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95045071 (CA)
Nurse Practitioner Primary 363L00000X95016937 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1053908863

Jose L. Corrales Romero's National Provider Identifier is 1053908863, issued on Dec 28, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 19, 2021.