Individual
DANICA-ELLA M PANTOJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10251 VISTA SORRENTO PKWY STE 280, SAN DIEGO, CA 92121-3776
(888) 380-0988
(289) 236-3022
Mailing address
2950 BUSKIRK AVE STE 300, WALNUT CREEK, CA 94597-6900
(888) 380-0988
(289) 236-3022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001219626
VA
163W00000X
Registered Nurse
RN1017188
DC
363L00000X
Nurse Practitioner
00024175615
VA
363L00000X
Nurse Practitioner
AC002184
MD
363LF0000X
Family Nurse Practitioner
Primary
95016725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017011092
—
VA
Enumeration date
09/26/2017
Last updated
11/23/2021
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