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Individual

KATHLEEN LIMPENGCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, RN, MSN - FNP

Contact information

Practice address
3946 WILSHIRE BLVD, LOS ANGELES, CA 90010-3303
(213) 382-5550
Mailing address
1520 SIERRA BONITA DR, PLACENTIA, CA 92870-2505
(951) 315-7357

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95177598
CA
363LF0000X
Family Nurse Practitioner
95020364
CA

Other

Enumeration date
09/16/2022
Last updated
09/16/2022
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