Ridaura, Carlos Antonio

Ridaura, Carlos Antonio is an individual health care provider with primary practice located at 790 W Orange Ave Ste B , El Centro CA 92243-3274. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Ridaura, Carlos Antonio can be contacted via phone (760) 353-3222.

Contact Information

Primary practice address
790 W Orange Ave Ste B El Centro CA 92243-3274
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95034846 California

Profile Details

NPI number 1770374605
LBN Legal business name Ridaura, Carlos Antonio
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2025
Last updated May 12th, 2025 - about last year

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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