MAYDOLE ALDALUR, Nurse Practitioner

NPI 1811317001 Active Nurse Practitioner, Pediatrics

Quick Facts

NPI Number

1811317001

Type

Individual (NPI-1)

Credential

Nurse Practitioner

Status

Active

Enumeration Date

2014-04-26

Last Updated (NPPES)

2023-01-18

Primary Specialty / Taxonomy

Taxonomy	Nurse Practitioner, Pediatrics
Taxonomy Code	`363LP0200X`
License	95000492 CA

Practice Address

12100 EUCLID ST
GARDEN GROVE, CA 928403304

Phone: 833-574-2273

Mailing Address

7931 WESTRA LN
LA PALMA, CA 906231844

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.