Individual provider · Type 1 NPI

Gianni Samantha Corilla-Lazo

Registered Nurse · Fontana, CA

NPI number 1811711567 Active

Practice location

16624 Sugar Ln
Fontana, CA 92337-7626

Call (909) 232-6186 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X95345000 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1811711567

Gianni Samantha Corilla-Lazo's National Provider Identifier is 1811711567, issued on Nov 11, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fontana, CA. The record was last updated on Oct 14, 2026.