Individual
MR. RICHARD ALLAN CORONEL SY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-BC
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-7400
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-7400
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95013276
CA
363LF0000X
Family Nurse Practitioner
95013276
CA
Other
Enumeration date
11/19/2019
Last updated
01/20/2023
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