Individual provider · Type 1 NPI
Boo Young Jun Bardales, DNP, AGPCNP-BC, C
Primary Care Nurse Practitioner · Los Angeles, CA
NPI number
1114845567
Active
Practice location
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95040332 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1114845567
Boo Young Jun Bardales, DNP, AGPCNP-BC, C's National Provider Identifier is 1114845567, issued on Jul 6, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 12, 2026.