Individual
MRS. GEORGINA CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, DNP
Contact information
Practice address
661 W 1ST ST STE G, TUSTIN, CA 92780-2939
(714) 665-9890
(714) 665-9891
Mailing address
2137 JODY AVE, SANTA ANA, CA 92706-2434
(714) 673-0044
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95012593
CA
363LG0600X
Gerontology Nurse Practitioner
95012593
CA
Other
Enumeration date
09/23/2019
Last updated
03/16/2023
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