Provider Demographics
NPI:1326855040
Name:SOMRA NURSING CORPORATION
Entity type:Organization
Organization Name:SOMRA NURSING CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIJIOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-684-2779
Mailing Address - Street 1:PO BOX 4671
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91729-4671
Mailing Address - Country:US
Mailing Address - Phone:909-507-3947
Mailing Address - Fax:909-829-0088
Practice Address - Street 1:1050 KENDALL DR STE F
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92407-4125
Practice Address - Country:US
Practice Address - Phone:909-507-3947
Practice Address - Fax:909-829-0088
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOMRA PSYCHIATRIC CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-16
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty