Individual
CARLOS ALEXIS CORZA DUARTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1247 MOUNT SHASTA ST, PERRIS, CA 92570-1853
(951) 287-6808
Mailing address
1247 MOUNT SHASTA ST, PERRIS, CA 92570-1853
(951) 287-6808
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
261QC1500X
CA
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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