Individual
LILIAN ROSE BALLENTOS GUMBAN-SALDANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24552 PACIFIC PARK DR, ALISO VIEJO, CA 92656-3055
(949) 446-0090
(949) 382-2949
Mailing address
24552 PACIFIC PARK DR, ALISO VIEJO, CA 92656-3055
(949) 446-0090
(949) 382-2949
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95267244
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95267244
CA
Other
Enumeration date
10/08/2025
Last updated
02/19/2026
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