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Organization
YOVANA BRUNO PEDIATRIC CARE INC.
Active
Organization
YOVANA BRUNO PEDIATRIC CARE INC.
Active
Other names
YBPC MEDICAL CLINIC INC
Organization subpart
No
Provider details
NPI number
Authorized official
YOVANA GRACIELA BRUNO M.D (OWNER)
(949) 200-7737
Entity
Organization
Contact information
Practice address
3553 CAMINO MIRA COSTA STE D, SAN CLEMENTE, CA 92672-3512
(949) 200-7737
(949) 336-1949
Mailing address
3553 CAMINO MIRA COSTA STE D, SAN CLEMENTE, CA 92672-3512
(949) 200-7737
(949) 336-1949
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0104850
MEDICAL
CA
Enumeration date
06/27/2007
Last updated
07/10/2020
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