SearchCalifornia101YM0800X

Daisy Cordova

NPI 1700391679 · on the registry since 2017

Practice

Address
715 Beverly Dr
Nipomo, CA 93444
Phone
(805) 235-4806

Additional practice sites

  • 115 E Fesler St, Santa Maria, CA
  • 1255 Kendall Rd, San Luis Obispo, CA

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-23

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