Individual
GERARDO ALBERT REGALADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
403 W F ST, ONTARIO, CA 91762-3207
(909) 988-3288
(909) 988-6767
Mailing address
403 W F ST, ONTARIO, CA 91762-3207
(909) 988-3288
(909) 988-6767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95001261
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
730185
REGISTERED NURSE
CA
01
—
95001261
NURSE PRACTITIONER
CA
Enumeration date
09/08/2014
Last updated
12/02/2021
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