Individual provider · Type 1 NPI

Reggie Federico

Licensed Vocational Nurse · Moreno Valley, CA

NPI number 1114649522 Active

Practice location

24941 Dracaea Ave
Moreno Valley, CA 92553-3777

Call (951) 579-6353 Map

Mailing address

109 E 11th St
Corona, CA 92879-2157

Other practice locations

  • 109 E 11th St, Corona, CA 92879-2157 · (951) 427-3482

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X725020 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

6 other providers at this address

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About NPI 1114649522

Reggie Federico's National Provider Identifier is 1114649522, issued on Sep 13, 2022. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Aug 29, 2025.