Individual
CHARMAINE NI
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
420 S GLENDORA AVE, WEST COVINA, CA 91790-3001
(626) 919-4333
Mailing address
805 BERKENSTOCK CIR, PLACENTIA, CA 92870-2747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95032021
CA
Other
Enumeration date
05/29/2025
Last updated
07/22/2026
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