Liezel Adolfo
Individual provider Active NPI Nurse Practitioner · Baldwin Park, CA
NPI 1992597017 · NPPES record last updated May 22, 2025
Key facts
- NPI
- 1992597017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95025104 (CA)
- Practice address
- 13820 Earl Ave
Baldwin Park, CA 91706-4911 - Phone
- (626) 384-8678
- NPI assigned
- May 22, 2025
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95025104 | CA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95025104 | CA | Yes |
Addresses
Primary practice location
13820 Earl Ave
Baldwin Park, CA 91706-4911
Mailing address
13820 Earl Ave
Baldwin Park, CA 91706-4911
Phone (626) 384-8678
Other providers in Baldwin Park, CA
- Julia E Aburto-Erazo
- Mauricio Acevedo
- Helen Achio
- Ralph Lewis Aramburo Acosta
- Olufemi Michael Adenuga
- Agape Chiropractic
- Agape Chiropractic BP, Inc.
- Soma Agarwal
- James A. Aguiar
- Asif J. Ahmad
All providers in Baldwin Park, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2025. 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.