Individual provider · Type 1 NPI
Honorine Penoria Pengho, NP
Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA
NPI number
1750625588
Active
Practice location
4945 Angeles Vista Blvd
Los Angeles, CA 90043-1724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | 21236 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 688401 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1750625588
Honorine Penoria Pengho, NP's National Provider Identifier is 1750625588, issued on Nov 16, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Los Angeles, CA. The record was last updated on May 9, 2025.