Provider Demographics
NPI:1336918572
Name:CORONADO, KARINA ELENA (CNA)
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:ELENA
Last Name:CORONADO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:KARINA
Other - Middle Name:ELENA
Other - Last Name:CORONADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:1523 N ACACIA AVE
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90222-4031
Mailing Address - Country:US
Mailing Address - Phone:323-378-8361
Mailing Address - Fax:
Practice Address - Street 1:1523 N ACACIA AVE
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90222-4031
Practice Address - Country:US
Practice Address - Phone:323-378-8361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01262965376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide