Individual
DOREEN ANN URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
26800 CROWN VALLEY PKWY., SUITE 330, MISSION VIEJO, CA 92691
(949) 364-7246
(949) 364-1647
Mailing address
10148 STRATTON CT, ALTA LOMA, CA 91701
(909) 989-5122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
3874554
CA
363L00000X
Nurse Practitioner
Primary
6440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EAP703234F
EAPC
CA
01
—
HAP70324F
PACT
CA
01
—
MEDICAL
FHC70324F
CA
Enumeration date
06/22/2007
Last updated
05/18/2010
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