LEONORA B BANTUGAN

LOS ANGELES, CA
NPI1285393181
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95019337)
Additional Taxonomies363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  95019337)
Enumeration Date2021-12-08
Last Update Date2024-08-01
Business Address
LEONORA B BANTUGAN
200 UCLA MEDICAL PLZ STE 565C
LOS ANGELES, CA 90095-1252
Phone number: 310-267-2555
Mailing Address
LEONORA B BANTUGAN
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8707