Individual provider · Type 1 NPI
Angelia Ive Decierdo Gonzalaes
Administrator Registered Nurse · West Covina, CA
NPI number
1194408948
Active
Practice location
1115 S Sunset Ave
West Covina, CA 91790-3940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | N4600 (CA) |
Administrator Registered Nurse: Definition to come...
158 other providers at this address
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- Emanate Health Medical CenterGeneral Acute Care Hospital West Covina, CA NPI 1063441293
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- Emanate Health Medical CenterSpecialist West Covina, CA NPI 1770508939
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About NPI 1194408948
Angelia Ive Decierdo Gonzalaes's National Provider Identifier is 1194408948, issued on Aug 9, 2023. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in West Covina, CA. The record was last updated on Aug 9, 2023.