Candace C An, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · La Puente, CA
NPI 1942589882 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1942589882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 779066 (CA)
- Practice address
- 160 S 7TH Ave
La Puente, CA 91744 - Phone
- (626) 961-8971
- NPI assigned
- Aug 9, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 779066 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 779066 | CA | Yes |
Addresses
Primary practice location
160 S 7TH Ave
La Puente, CA 91744
Mailing address
160 S 7TH Ave
La Puente, CA 91744
Other practice location 1
1436 Goodrich Blvd
Commerce, CA 90022-5111
Phone (323) 725-1337
Other practice location 2
9862 Chapman Ave
Garden Grove, CA 92841-2726
Phone (626) 810-0466
Other providers in La Puente, CA
- Angelica Alvarez
- Caroline M Alvarez
- Mireya Alvarez
- Amar Dental Center Inc
- Amar Socal Properties LLC
- Lissell Andrea Andrade
- Andrew G Chong, O.D.
- Rebecca Angulo
- Anka Behavioral Health Incorporated
- Anthony M Nguyen DDS, Apc
All providers in La Puente, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. 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.