Provider Demographics
NPI:1285087007
Name:CEDENO, MEINRADO (MSN, RN, CPNP)
Entity type:Individual
Prefix:
First Name:MEINRADO
Middle Name:
Last Name:CEDENO
Suffix:
Gender:M
Credentials:MSN, RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 E 238TH PL
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-5831
Mailing Address - Country:US
Mailing Address - Phone:310-347-8845
Mailing Address - Fax:
Practice Address - Street 1:27800 MEDICAL CENTER RD STE 110
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6407
Practice Address - Country:US
Practice Address - Phone:949-364-3532
Practice Address - Fax:949-347-7645
Is Sole Proprietor?:No
Enumeration Date:2016-07-16
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002045363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics