Christian Custodio, FNP
Christian Custodio, FNP is a Nurse Practitioner in Pomona, California. Qualified in 2020, 6 years ago. Practices with East Valley Community Health Center, Inc, a 50-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 6
- Licensed in
- CA
- In the registry since
- 2020
What do these letters mean?
- FNP — Family Nurse Practitioner
- A nurse practitioner who treats patients of all ages, much like a family doctor.
Practice location Address checks out
1196 N Park AvePomona, CA 91768-3027
Phone: (909) 623-4050
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 95015354 (CA) |
|---|
Record details
| NPI number | 1811502404 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | FNP |
| Sole proprietor | No |
| NPI enumerated | September 10, 2020 |
| Last updated in NPPES | September 10, 2020 |
| Certification date | September 10, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | East Valley Community Health Center, Inc. — 50 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Pomona
-
Cecilia Dominguez Pimentel
983 E Olive St, Pomona, CA 91766-6339 · (909) 287-6538