Provider profile · NPI 1750017422

A&E Professional Medical Group And Nursing Corporation

Nurse Practitioner · Huntington Park, CA · NPI 1750017422 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Nurse Practitioner

Enumerated

Jul 26, 2022

License(s)

Addresses on file

PurposeAddressCity/StatePhone
LOCATION6816 PACIFIC BLVD STE 210 Huntington Park, CA 90255-4654818-754-7986
MAILING6816 PACIFIC BLVD SUITE 210Huntington Park,, CA 90255-4654818-754-7986

View on NPPES registry ↗

Watch this provider

Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.