MARVIN LOUIE SUNPONGCO

HUNTINGTON BEACH, CA
NPI1659066314
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA  95024557)
Enumeration Date2023-04-10
Last Update Date2023-08-02
Business Address
MARVIN LOUIE SUNPONGCO PMHNP
5888 EDINGER AVE
HUNTINGTON BEACH, CA 92649-1705
Phone number: 714-716-2900
Mailing Address
MARVIN LOUIE SUNPONGCO PMHNP
5888 EDINGER AVE
HUNTINGTON BEACH, CA 92649-1705
Phone number: 714-716-2900
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