Individual provider · NPI-1

Patrick Alonzo

Nurse Practitioner · Pomona, CA

NPI number1023869690
StatusActive
Last updated in NPPESOct 8, 2026

Details

NPI
1023869690
Entity type
Individual (NPI-1)
Name
Patrick Alonzo
Sex
Male
Sole proprietor
No
Enumeration date
Apr 1, 2024
Certification date
Oct 8, 2026
Last updated
Oct 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner95028508CAYes

Practice location

1880 N Orange Grove Ave
Pomona, CA 91767-3006

Phone 909-623-2100

Mailing address

1131 W 6th St Ste 225
Ontario, CA 91762-1117

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