JUAN LUIS CORDOVA
NPI 1043704034
Driver in El Centro, CA

Active since June 21, 2018
1480 S IMPERIAL AVE, EL CENTRO, CA 92243(760) 455-1706 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Juan Luis Cordova NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN LUIS CORDOVA (NPI 1043704034) is an individual driver provider in El Centro, California, licensed in California (F4704795) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1043704034
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameJUAN LUIS CORDOVA
Location Address1480 S IMPERIAL AVEEl Centro, CA 92243-4200
Mailing Address1480 S Imperial AveEl Centro, CA 92243-4200 · (760) 455-1706
Sole ProprietorNo
Enumeration DateJune 21, 2018
NPI 1043704034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License Licensed in CA · F4704795
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
1480 S IMPERIAL AVE, El Centro, CA 92243

Other Identifiers 1

OtherF4704795CA · California Id

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Driver
1480 S IMPERIAL AVE
EL CENTRO, CA 92243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Cordova's NPI number?

The NPI number for Juan Cordova is 1043704034. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Juan Cordova located?

Juan Cordova practices at 1480 S Imperial Ave, El Centro, CA 92243. The listed phone number is (760) 455-1706.

What is Juan Cordova's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Juan Cordova was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.