Organization
SCV LEGACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONDAE CABRETA PANGILINAN NP (CEO)
(805) 607-3627
Entity
Organization
Contact information
Practice address
24118 TANGO DR, VALENCIA, CA 91354-1567
(805) 607-3627
Mailing address
24118 TANGO DR, VALENCIA, CA 91354-1567
(805) 607-3627
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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