Jonvanni Bongolan
Jonvanni Bongolan is a Family Nurse Practitioner in LA Jolla, California. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
9300 Campus Point DrLA Jolla, CA 92037-1300
Phone: (858) 657-6390
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Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 19774 (CA) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 624546 (CA) |
Record details
| NPI number | 1124335807 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 2, 2010 |
| Last updated in NPPES | December 7, 2010 |
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