Individual provider · Type 1 NPI

Elizabeth Soewondo

Nurse Practitioner · Escondido, CA

NPI number 1376198408 Active

Practice location

362 W Mission Ave Ste 105
Escondido, CA 92025-1738

Other practice locations

  • 6280 Jackson Dr Ste 8, San Diego, CA 92119-3436 · (760) 741-1224

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95040736 (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 1376198408

Elizabeth Soewondo's National Provider Identifier is 1376198408, issued on Aug 6, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Escondido, CA. The record was last updated on Jul 27, 2026.