Provider Demographics
NPI:1144526484
Name:ALLEGRETTO, REBECCA CONTE (NP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:CONTE
Last Name:ALLEGRETTO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8631 W 3RD ST STE 120E
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5921
Mailing Address - Country:US
Mailing Address - Phone:310-808-3088
Mailing Address - Fax:
Practice Address - Street 1:8631 W 3RD ST STE 120E
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5921
Practice Address - Country:US
Practice Address - Phone:310-967-8505
Practice Address - Fax:310-423-8048
Is Sole Proprietor?:No
Enumeration Date:2011-02-03
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP20222363L00000X
CARN677539163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0NP202220Medicaid
CARN6775390Medicaid
CARN6775390Medicaid