Individual provider · Type 1 NPI
Haris Basri Sinaga
Licensed Vocational Nurse · Fonta, CA
Practice location
14677 Merrill Avenue
Fonta, CA 92335
Mailing address
12440 Tamarisk Dr
Rancho Cucamonga, CA 91739-1517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse Primary | 164X00000X | VN214075 (CA) |
Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…
3 other providers at this address
About NPI 1356984082
Haris Basri Sinaga's National Provider Identifier is 1356984082, issued on Oct 25, 2019. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Fonta, CA. The record was last updated on Oct 25, 2019.