Pio Carmelo Bernardo Coquia III, RN
Registered Nurse in Santa Ana, CA. Individual provider (NPI-1).
NPI number1407488554
StatusActive
Last updated in NPPESFeb 6, 2020
Details
- NPI
- 1407488554
- Entity type
- Individual (NPI-1)
- Name
- Mr. Pio Carmelo Bernardo Coquia III
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2020
- Certification date
- Feb 6, 2020
- Last updated
- Feb 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 729662 | CA | Yes |
Practice location
405 W 5th StSanta Ana, CA 92701-4599
Phone 714-834-7324
Mailing address
405 W 5th StSanta Ana, CA 92701-4599
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