Provider Demographics
NPI:1669712253
Name:CARDENAS, AIMEE A (NP)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:A
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:A
Other - Last Name:CARDENAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:880 S ATLANTIC BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-4785
Mailing Address - Country:US
Mailing Address - Phone:626-281-8835
Mailing Address - Fax:626-281-1526
Practice Address - Street 1:880 S ATLANTIC BLVD STE 302
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-4785
Practice Address - Country:US
Practice Address - Phone:626-281-8835
Practice Address - Fax:626-281-1526
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22642363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty