Provider Demographics
NPI:1518550599
Name:CORTES ZUNIGA, PAOLAH BAUDELIA (RN, NP)
Entity Type:Individual
Prefix:
First Name:PAOLAH
Middle Name:BAUDELIA
Last Name:CORTES ZUNIGA
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:PAOLAH
Other - Middle Name:
Other - Last Name:CORTES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, NP
Mailing Address - Street 1:2040 CAMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90040-1502
Mailing Address - Country:US
Mailing Address - Phone:310-912-1261
Mailing Address - Fax:
Practice Address - Street 1:1900 E SLAUSON AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-2725
Practice Address - Country:US
Practice Address - Phone:888-499-9303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-19
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily