| Doctor Name: | LUAMY GABRIELA CORNEJO |
| NPI Number: | 1003246315 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | NP95000040 |
| Business Practice Address: | 4440 Brockton Ave Ste 100 Riverside, CA - 925014026 |
| Business Phone Number: | 9516841293 |
| Business Fax Number: | |
| Mailing Address: | 24933 Prospect Ave, LOMA LINDA |
| State: | CA |
| Postal Code: | 923542811 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/22/2013 |
| NPI Last Update Date: | 11/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | NP95000040 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |