Provider Demographics
NPI:1295999571
Name:ESTRADA, VERONICA (FNP)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10737 CAMINO RUIZ
Mailing Address - Street 2:SUITE 114
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-2359
Mailing Address - Country:US
Mailing Address - Phone:858-578-9600
Mailing Address - Fax:858-578-9065
Practice Address - Street 1:26800 CROWN VALLEY PKWY
Practice Address - Street 2:STE 525
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-8029
Practice Address - Country:US
Practice Address - Phone:949-364-1040
Practice Address - Fax:949-365-7037
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA633979163WM0705X
CA17366363LX0001X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology