# BUPE MUSHILI PMHNP NURSING INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BUPE MUSHILI PMHNP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467220442
- **Authorized official:** MR. BUPE C MUSHILI PMHNP (OWNER)
- **Authorized official phone:** (909) 870-0160

## Contact information

- **Practice address:** 415 W ROUTE 66 STE 202, GLENDORA, CA 91740-4335
- **Practice address phone:** (626) 963-4467
- **Practice address fax:** (626) 963-9543
- **Mailing address:** 3400 INLAND EMPIRE BLVD STE 101, ONTARIO, CA 91764-5577
- **Mailing address phone:** (909) 870-0160
- **Mailing address fax:** (909) 870-0161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2023
- **Last updated:** 09/02/2025