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REDENTOR PRIJOLES CORNEJO
NPI 1720329758
Physician Assistant - Medical in San Pedro, CA

Active since March 15, 2013
1299 S SEASIDE AVE, SAN PEDRO, CA 90731(310) 732-5265 Get Directions Write a Review

NPPES record last updated: March 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Redentor Prijoles Cornejo NPPES

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

REDENTOR PRIJOLES CORNEJO (NPI 1720329758) is an individual medical provider in San Pedro, California and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1720329758
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameREDENTOR PRIJOLES CORNEJO
Location Address1299 S SEASIDE AVESan Pedro, CA 90731-7359
Mailing Address24 Via FronteraRancho Santa Margarita, CA 92688-3317
Phone(310) 732-5265
Sole ProprietorNo
Enumeration DateMarch 15, 2013
✔ NPI 1720329758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1299 S SEASIDE AVE, San Pedro, CA 90731
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Other Providers at the Same Location NPPES

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

SYDNEY QUYNH TRAN
Pharmacist
1299 S SEASIDE AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 732-5252

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 Redentor Cornejo's NPI number?

The NPI number for Redentor Cornejo is 1720329758. It was assigned to this individual provider in the NPPES registry on March 15, 2013.

Where is Redentor Cornejo located?

Redentor Cornejo practices at 1299 S Seaside Ave, San Pedro, CA 90731. The listed phone number is (310) 732-5265.

What is Redentor Cornejo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Redentor Cornejo was last updated on March 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.