Individual
MR. CHARLES DELEON LUMBOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
311 OAK ST APT 511, OAKLAND, CA 94607-4606
(510) 387-6708
Mailing address
311 OAK ST APT 511, OAKLAND, CA 94607-4606
(510) 387-6708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95001958
CA
363LF0000X
Family Nurse Practitioner
Primary
NP95001958
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
733932
CALIFORNIA RN LICENSE
CA
01
—
95001958
CA BRN FAMILY NURSE PRACTITIONER
CA
Enumeration date
12/23/2014
Last updated
06/14/2024
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