Individual
MISS HONORINE PENORIA PENGHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4945 ANGELES VISTA BLVD, LOS ANGELES, CA 90043-1724
(310) 409-5160
Mailing address
4945 ANGELES VISTA BLVD, LOS ANGELES, CA 90043-1724
(310) 409-5160
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
688401
CA
364SA2100X
Acute Care Clinical Nurse Specialist
21236
CA
Other
Enumeration date
11/16/2012
Last updated
05/09/2025
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