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Search › California › 101YA0400X

Paul Cornejo

NPI 1295174472 · on the registry since 2013

Practice

Address
12490 Alta Mesa Rd
Herald, CA 95638
Phone
(209) 748-2470
Fax
(209) 748-5861
Organisation at this address
River City Recovery Center
River City Recovery Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California