Provider Demographics
NPI:1578101531
Name:OSORIO, RALPH ALLAN ADIONG (RN, MSN, NP-C)
Entity Type:Individual
Prefix:MR
First Name:RALPH ALLAN
Middle Name:ADIONG
Last Name:OSORIO
Suffix:
Gender:M
Credentials:RN, MSN, NP-C
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Mailing Address - Street 1:6532 MARQUETTE DR
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-4623
Mailing Address - Country:US
Mailing Address - Phone:714-343-7231
Mailing Address - Fax:
Practice Address - Street 1:13939 SAN ANTONIO DR
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-4036
Practice Address - Country:US
Practice Address - Phone:562-807-3777
Practice Address - Fax:562-807-2333
Is Sole Proprietor?:No
Enumeration Date:2019-12-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95006751363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily