Individual
IRENE ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,RN, CPNP-PC
Contact information
Practice address
1600 SAN FERNANDO RD, SAN FERNANDO, CA 91340-3115
(818) 356-8086
Mailing address
25713 VIA LOMAS APT 1, LAGUNA HILLS, CA 92653-1061
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95034741
CA
Other
Enumeration date
10/09/2025
Last updated
10/24/2025
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