Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juan Cornell

Individual provider Assisted Living Facility · NPI 1790265650

Juan Cornell is an Assisted Living Facility in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

1622 Palermo Dr
Riverside, CA 92507-2393
Phone: (562) 685-4610
Fax: (951) 213-6898
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 336425651 (CA)

Record details

NPI number1790265650
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 20, 2018
Last updated in NPPESAugust 20, 2018
Mailing address1622 Palermo Dr, Riverside, CA 92507-2393

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