Organization
ON DEMAND TELEHEALTH A NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KLAR FULGENTES PASILABAN (OWNER)
(805) 813-7979
Entity
Organization
Contact information
Practice address
1230 MADERA RD STE 5-162, SIMI VALLEY, CA 93065-4045
(805) 813-7979
Mailing address
1230 MADERA RD STE 5-162, SIMI VALLEY, CA 93065-4045
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
06/07/2024
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