Individual provider · Type 1 NPI

Redentor Prijoles Cornejo

Medical Physician Assistant · San Pedro, CA

NPI number 1720329758 Active

Practice location

1299 S Seaside Ave
San Pedro, CA 90731-7359

Mailing address

24 Via Frontera
Rancho Santa Margarita, CA 92688-3317

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1720329758

Redentor Prijoles Cornejo's National Provider Identifier is 1720329758, issued on Mar 15, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Pedro, CA. The record was last updated on Mar 15, 2013.