Nicolas David Loera
Mental Health
1602 E Amar Rd Apt L
West Covina
, California 91792-1624
Nicolas David Loera
Mental Health
1602 E Amar Rd Apt L
West Covina
, California 91792-1624
(626) 764-2384
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About
Features
Specialties
- Mental Health
Languages spoken
- English
Location
First Address
- Nicolas David Loera
- 1602 E Amar Rd Apt L
- West Covina, CA
- Zip : 91792-1624
- Phone : (626) 764-2384
Second Address
- Nicolas David Loera
- 1602 E Amar Rd Apt L
- West Covina, CA
- Zip : 91792-1624
- Phone : (626) 764-2384
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health |
National Provider Identifier
| NPI | 1053889485 |
|---|---|
| Provider Name | Nicolas David Loera |
| First Address | West Covina, CA 91792-1624 |
| Second Address | West Covina, CA 91792-1624 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2018 |
| Last Update Date | 03/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.