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Organization
BUPE MUSHILI PMHNP NURSING INC
Active
Organization
BUPE MUSHILI PMHNP NURSING INC
Active
Other names
BUPE MUSHILI PMHNP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BUPE C MUSHILI PMHNP (OWNER)
(909) 870-0160
Entity
Organization
Contact information
Practice address
415 W ROUTE 66 STE 202, GLENDORA, CA 91740-4335
(626) 963-4467
(626) 963-9543
Mailing address
3400 INLAND EMPIRE BLVD STE 101, ONTARIO, CA 91764-5577
(909) 870-0160
(909) 870-0161
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
09/02/2025
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