Organization
A&E MEDICAL GROUP-A PROFESSIONAL NURSING CORPORATION
Active
Other names
Cordial Healthcare Providers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERICK QUE (MANAGER)
(747) 238-2544
Entity
Organization
Contact information
Practice address
127 S BRAND BLVD STE 333, GLENDALE, CA 91204-1390
(747) 238-2544
Mailing address
127 S BRAND BLVD STE 333, GLENDALE, CA 91204-1390
(747) 238-2544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
05/24/2021
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