Cano, Audrey Joan Realeza

Cano, Audrey Joan Realeza is an sole proprietor health care provider with primary practice located at 1223 16Th St Ste 3100 , Santa Monica CA 90404-1275. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Cano, Audrey Joan Realeza can be contacted via phone (424) 259-8791.

Contact Information

Primary practice address
1223 16Th St Ste 3100 Santa Monica CA 90404-1275
Phone: (424) 259-8791
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP95010935 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP95010935 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP95010935 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP95010935 California

Profile Details

NPI number 1154987634
LBN Legal business name Cano, Audrey Joan Realeza
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2019
Last updated Dec 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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