Individual provider · Type 1 NPI

Michael John Pancho Bunag, NP

Nurse Practitioner · West Covina, CA

NPI number 1104414101 Active

Practice location

100 N Barranca St Ste 900
West Covina, CA 91791-1637

Call (626) 206-0523 Map

Fax (626) 206-0553

Mailing address

17101 San Jose St
Granada Hills, CA 91344-6240

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	95016175 (CA)
Internal Medicine Physician	207R00000X	95016175 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1104414101

Michael John Pancho Bunag, NP's National Provider Identifier is 1104414101, issued on Jan 5, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in West Covina, CA. The record was last updated on Sep 27, 2023.