Individual
BEVIEN SOFIA BARORO MONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8510 BALBOA BLVD STE 150, NORTHRIDGE, CA 91325-5810
(818) 654-3400
Mailing address
13627 FELSON ST, CERRITOS, CA 90703-8936
(714) 858-1372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95215659
CA
363LF0000X
Family Nurse Practitioner
Primary
95025171
CA
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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