Individual provider · Type 1 NPI

Brandon Philip Obero Vinzon

Pediatric Nurse Practitioner · Long Beach, CA

NPI number 1497361612 Active

Practice location

780 Atlantic Ave
Long Beach, CA 90813-4565

Mailing address

661 W 1st St
Tustin, CA 92780-2939

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X95011156 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1497361612

Brandon Philip Obero Vinzon's National Provider Identifier is 1497361612, issued on Sep 22, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Long Beach, CA. The record was last updated on Jan 31, 2024.