Individual provider · Type 1 NPI
Silica Dioca Bungabong
Family Nurse Practitioner · Los Angeles, CA
NPI number
1104293067
Active
Practice location
4619 Rosewood Ave Apt 106
Los Angeles, CA 90004-1890
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP95002654 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104293067
Silica Dioca Bungabong's National Provider Identifier is 1104293067, issued on Aug 27, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 27, 2015.