Individual provider · Type 1 NPI
Theophilus Mason, FNP
Family Nurse Practitioner · Pomona, CA
NPI number
1205580701
Active
Practice location
250 W Bonita Ave Ste 100
Pomona, CA 91767-1863
Fax (626) 795-4768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209023392 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | NP95029519 (CA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1205580701
Theophilus Mason, FNP's National Provider Identifier is 1205580701, issued on Feb 4, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pomona, CA. The record was last updated on Dec 12, 2024.