Individual
JOHN A DELLARIPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-3619
Mailing address
22 CORTE VIDRIOSA, SAN CLEMENTE, CA 92673
(310) 947-5364
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3163
STATE LICENSE NUMBER
CA
Enumeration date
05/15/2006
Last updated
11/29/2021
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