Individual
CHARLES BUNAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9128 WOODMAN AVE, ARLETA, CA 91331-6405
(818) 892-7795
Mailing address
9128 WOODMAN AVE, ARLETA, CA 91331-6405
(818) 892-7795
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016275
CA
363LF0000X
Family Nurse Practitioner
95016275
CA
Other
Enumeration date
01/04/2021
Last updated
01/29/2021
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