ORADEE BONNY AUEYONG


Address: 4065 Whittier Blvd, Los Angeles, CA 90023-2556
Phone: 3239681170

ORADEE BONNY AUEYONG (NPI# 1154949451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154949451
Entity Type Individual
Full Name ORADEE BONNY AUEYONG
Credential FNP
Practice Address 4065 Whittier Blvd
Los Angeles
CA 90023-2556
Mailing Address 15906 Atoka Rd
Apple Valley
CA 92307-2749
Practice Telephone 3239681170
Practice Fax Number 3239681175
Mailing Telephone 6262268706
Enumeration Date 2020-07-13
Last Update Date 2020-07-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95014776 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4065 WHITTIER BLVD
City LOS ANGELES
State CA
Zip Code 90023-2556

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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