Individual provider · NPI-1

Karl Amparo, NP

Nurse Practitioner, Family · San Bernardino, CA

NPI number1841844990
StatusActive
Last updated in NPPESJul 27, 2019

Details

NPI
1841844990
Entity type
Individual (NPI-1)
Name
Karl Amparo
Credential
NP
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 27, 2019
Last updated
Jul 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95012204CAYes

Practice location

742 W Highland Ave
San Bernardino, CA 92405-3839

Phone 909-881-7320

Mailing address

15841 Barletta Ln
Fontana, CA 92336-0243

Phone 909-708-7058

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