Organization · Type 2 NPI

Brave Roots Health LLC

Administrator Registered Nurse · Corona, CA

NPI number 1508739764 Active

Practice location

1977 Rainbow Ridge St
Corona, CA 92882-5150

Specialties and licenses

Taxonomy	Code	License
Administrator Registered Nurse Primary	163WA2000X	None listed

Administrator Registered Nurse: Definition to come...

About NPI 1508739764

Brave Roots Health LLC's National Provider Identifier is 1508739764, issued on Sep 24, 2025. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Corona, CA. The record was last updated on Sep 24, 2025.