ROBERTO JAMES NELSON BALDERAS-FOWLER
NPI 1346823614
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since May 04, 2021
1000 VETERAN AVE RM 25-57, LOS ANGELES, CA 90095(310) 825-6110 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 9, 2024, Oct 2, 2024, May 4, 2021 (3 updates tracked since 2021).

About Roberto James Nelson Balderas-fowler NPPES

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

ROBERTO JAMES NELSON BALDERAS-FOWLER (NPI 1346823614) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1346823614
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROBERTO JAMES NELSON BALDERAS-FOWLER
Location Address1000 VETERAN AVE RM 25-57Los Angeles, CA 90095-1048
Mailing Address1000 Veteran Ave Rm 25-57Los Angeles, CA 90024-2704 · (866) 523-4268
Sole ProprietorYes
Enumeration DateMay 4, 2021
Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
NPI 1346823614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 VETERAN AVE RM 25-57, Los Angeles, CA 90095

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346823614, enumerated as an "individual" on May 04, 2021.

The provider is located at 1000 VETERAN AVE RM 25-57 LOS ANGELES, CA 90095 and the phone number is (310) 825-6110.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.