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Organization

RCN PEDIATRIC C ARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORAZON NARNE (ADMINISTRATOR/OWNER)
(626) 917-6674
Entity
Organization

Contact information

Practice address
1520 N HACIENDA BLVD, LA PUENTE, CA 91744-1134
(626) 917-6674
Mailing address
1520 N HACIENDA BLVD, LA PUENTE, CA 91744-1134

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary

Other

Enumeration date
11/21/2007
Last updated
06/17/2008
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