Larios, Brooke

Larios, Brooke is an individual health care provider with primary practice located at 2080 S E St , San Bernardino CA 92408-2706. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Larios, Brooke can be contacted via phone (909) 388-9191.

Contact Information

Primary practice address
2080 S E St San Bernardino CA 92408-2706
Phone: (909) 388-9191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95017028 California

Profile Details

NPI number 1255569042
LBN Legal business name Larios, Brooke
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2009
Last updated May 23rd, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255569042 NPPES
California MEDICAID 1124100383

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