Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juan Cornell

Individual provider Assisted Living Facility · NPI 1790265650

Juan Cornell is an Assisted Living Facility in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

1622 Palermo Dr
Riverside, CA 92507-2393
Phone: (562) 685-4610
Fax: (951) 213-6898
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 336425651 (CA)

Record details

NPI number1790265650
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 20, 2018
Last updated in NPPESAugust 20, 2018

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