Provider Demographics
NPI:1013482173
Name:RELIABLE ADVANCED CLINICIANS INC
Entity Type:Organization
Organization Name:RELIABLE ADVANCED CLINICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROGGIELYZ
Authorized Official - Middle Name:Y
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:562-303-3521
Mailing Address - Street 1:645 AERICK ST STE 1
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-4882
Mailing Address - Country:US
Mailing Address - Phone:424-378-9323
Mailing Address - Fax:
Practice Address - Street 1:645 AERICK ST STE 1
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-4882
Practice Address - Country:US
Practice Address - Phone:424-378-9323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty