Provider Demographics
NPI:1245046424
Name:ROYER, MARGO (RN)
Entity type:Individual
Prefix:
First Name:MARGO
Middle Name:
Last Name:ROYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARGO
Other - Middle Name:JOSEPHINE
Other - Last Name:CAMPOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5750 DOWNEY AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-1482
Mailing Address - Country:US
Mailing Address - Phone:562-633-3787
Mailing Address - Fax:
Practice Address - Street 1:5750 DOWNEY AVE STE 308
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-1482
Practice Address - Country:US
Practice Address - Phone:562-633-3787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-03
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95283013163WX0800X
CA95035188363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic