Provider Demographics
NPI:1962679928
Name:FLORENDO, RICHARD DANIEL (RNFA)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:DANIEL
Last Name:FLORENDO
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7057 BARWICK CT
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92880-3938
Mailing Address - Country:US
Mailing Address - Phone:626-378-3508
Mailing Address - Fax:951-496-3697
Practice Address - Street 1:7057 BARWICK CT
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92880-3938
Practice Address - Country:US
Practice Address - Phone:626-378-3508
Practice Address - Fax:951-496-3697
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA588711163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant