Organization
YOVANA BRUNO PEDIATRIC CARE INC.
Active
Other names
YBPC MEDICAL CLINIC INC
Organization subpart
No
Provider details
NPI number
Authorized official
YOVANA GRACIELA BRUNO M.D (OWNER)
(949) 200-7737
Entity
Organization
Contact information
Practice address
3553 CAMINO MIRA COSTA STE D, SAN CLEMENTE, CA 92672-3512
(949) 200-7737
(949) 336-1949
Mailing address
3553 CAMINO MIRA COSTA STE D, SAN CLEMENTE, CA 92672-3512
(949) 200-7737
(949) 336-1949
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0104850
MEDICAL
CA
Enumeration date
06/27/2007
Last updated
07/10/2020
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