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Bryant Baldorado

Nurse Practitioner, Acute Care in Los Angeles, CA. Individual provider (NPI-1).

NPI number1639717044
StatusActive
Last updated in NPPESFeb 8, 2022

Details

NPI
1639717044
Entity type
Individual (NPI-1)
Name
Bryant Baldorado
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 16, 2019
Certification date
Feb 8, 2022
Last updated
Feb 8, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2100X Nurse Practitioner, Acute Care95013135CAYes

Practice location

757 Westwood Plz
Los Angeles, CA 90095-4672

Phone 310-825-9111

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Acute Care Nurse Practitioner providers in Los Angeles, CA

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