Individual
CALINA ANN CONSOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703-9329
(562) 622-2800
Mailing address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703-9329
(562) 622-2800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95008266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95008266
NP LICENSE
CA
Enumeration date
12/26/2017
Last updated
09/06/2019
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