MR. RICHARD ALLAN CORONEL SY (NPI# 1972149490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972149490 |
| Entity Type | Individual |
| Full Name | MR. RICHARD ALLAN CORONEL SY |
| Credential | NP-BC |
| Practice Address |
11645 Walcroft St Lakewood CA 90715-1356 |
| Practice Telephone | 2137007028 |
| Mailing Telephone | 2137007028 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95013276 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11645 WALCROFT ST |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90715-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437510674 | Katie Perez | Technician, Other | 11907 205 St, Lakewood, CA 90715 | 2016-03-16 |
| 1699171504 | Amanda N Mcginnis | Dental Hygienist | 21001 Dalaman Ave, Lakewood, CA 90715 | 2014-11-05 |
| 1356458020 | Ellen L Chen | Dentist | 20147 S Pioneer Blvd, Lakewood, CA 90715 | 2006-08-25 |
| 1407012958 | Suraiya Motala | Student in an Organized Health Care Education/Training Program | 20215 Village Green Dr, Lakewood, CA 90715-1010 | 2008-08-04 |
| 1881250009 | Jennifer Roche-sheets | Counselor | 20133 Jersey Ave, Lakewood, CA 90715-1047 | 2019-05-13 |
| 1285766253 | Woosung Ahn, M.d., Inc | Internal Medicine | 20145 Pioneer Blvd, Lakewood, CA 90715-1051 | 2007-03-12 |
| 1396807806 | Woo Sung Ahn | Internal Medicine | 20145 S Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-12-14 |
| 1881754489 | Candice Yee Chen | Dentist | 20147 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-12-12 |
| 1972515195 | Younghae Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 20141 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-08-13 |
| 1114942711 | Ralphs Grocery Company | Durable Medical Equipment & Medical Supplies | 20137 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-07-13 |
| Find all providers in zip 90715 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218574 | Primary Health Services LLC | Nurse Practitioner | 500 River Ave Ste 200, Lakewood, NJ 08701-4719 | 2020-09-01 |
| 1235748237 | Esther Steinhaus | Nurse Practitioner | 409 Ashley Ave, Lakewood, NJ 08701-4866 | 2020-07-26 |
| 1609402817 | Bridgit V Wedgle | Nurse Practitioner | 2556 S Jellison Ct, Lakewood, CO 80227-2872 | 2020-03-19 |
| 1255963187 | Tresa Marie Glaser | Nurse Practitioner | 8807 25th Ave S, Lakewood, WA 98499-8301 | 2020-02-08 |
| 1609411867 | Jennifer Lynn Wondel | Nurse Practitioner | 10424 W Arkansas Dr, Lakewood, CO 80232-5014 | 2019-11-12 |
| 1457901555 | Nancy Wairimu Minjire | Nurse Practitioner | 9537 Gravelly Lake Dr Sw # E10, Lakewood, WA 98499-1513 | 2019-09-19 |
| 1619432325 | Soroh Neuberger | Nurse Practitioner | 232 Jamescrest Ct, Lakewood, NJ 08701-4708 | 2019-02-06 |
| 1487118782 | Krista Leigh Petry | Nurse Practitioner | 4720 Baker St, Lakewood, NY 14750-9772 | 2019-01-31 |
| 1649740093 | Svetlana Polyakova | Nurse Practitioner | 8316 W Eastman Pl, Lakewood, CO 80227-6240 | 2018-11-28 |
| 1265946891 | Mary Lee Matulis | Nurse Practitioner | 7120 W Warren Ave, Lakewood, CO 80227-2611 | 2017-11-17 |
| Find all providers in LAKEWOOD | ||||
Please comment or provide details below to improve the information on MR. RICHARD ALLAN CORONEL SY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.