Christina Cornejo
Individual provider Active NPI Attendant Care Provider · Imperial, CA
NPI 1467003293 · NPPES record last updated Sep 23, 2019
Key facts
- NPI
- 1467003293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 2306 Christi Ave
Imperial, CA 92251-8834 - Phone
- (443) 480-5034
- NPI assigned
- Sep 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
2306 Christi Ave
Imperial, CA 92251-8834
Mailing address
1528 Main St # a
Brawley, CA 92227-9422
Phone (760) 997-5048
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A6427201 | Other | CA | DRIVER LICENSE |
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All providers in Imperial, CA · Attendant Care Provider in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.