location
search-icon
person
Christian Custodio, FNP
Primary Care Nurse Practitioner in Pomona, California
NPI 1811502404

Christian Custodio is a Primary Care Nurse Practitioner based in Pomona, CA and is specialized in Primary Care. Christian Custodio practices in Pomona, CA and has the professional credentials of FNP. The NPI Number for Christian Custodio is 1811502404 and holds a License No. 95015354 (California).

The current practice location address for Christian Custodio is 1196 N Park Ave, Pomona, CA and can be reached out via phone at 909-623-4050.

Location: 1196 N Park Ave, Pomona, CA, 91768-3027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811502404
Provider Name
Christian Custodio
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1196 N Park Ave, Pomona, CA, 91768-3027
Phone Number
909-623-4050
Fax Number
Provider Enumeration Date
09/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1196 N Park Ave
City
Pomona
State
California
Zip
91768-3027
Phone Number
909-623-4050
Fax Number
person
Provider Business Mailing Address Details
Address
1196 N Park Ave
City
Pomona
State
California
Zip
91768-3027
Phone Number
909-623-4050
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
95015354 (California)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.