# PONO PSYCHIATRY & WELLNESS A PROFESSIONAL NURSING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982523288
- **Authorized official:** VICMAR BURGONIO (PROVIDER)
- **Authorized official phone:** (661) 313-2166

## Contact information

- **Practice address:** 4539 PEPPERWOOD AVE, LONG BEACH, CA 90808-1070
- **Practice address phone:** (661) 313-2166
- **Mailing address:** 4539 PEPPERWOOD AVE, LONG BEACH, CA 90808-1070
- **Mailing address phone:** (661) 313-2166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2026
- **Last updated:** 08/12/2026