Christine Chen Corcoran, NP-C
Nurse Practitioner, Family in Los Angeles, CA. Individual provider (NPI-1).
NPI number1942014667
StatusActive
Last updated in NPPESFeb 4, 2025
Details
- NPI
- 1942014667
- Entity type
- Individual (NPI-1)
- Name
- Christine Chen Corcoran
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2025
- Certification date
- Feb 3, 2025
- Last updated
- Feb 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95032922 | CA | Yes |
Practice location
5015 Eagle Rock Blvd Ste 205Los Angeles, CA 90041-2087
Phone 747-300-7541 · Fax 818-471-4287
Mailing address
5015 Eagle Rock Blvd Ste 205Los Angeles, CA 90041-2087
Phone 747-300-7541 · Fax 818-471-4287
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