Bongolan, Jonvanni

Bongolan, Jonvanni is an individual health care provider with primary practice located at 9300 Campus Point Dr , La Jolla CA 92037-1300. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Bongolan, Jonvanni can be contacted via phone (858) 657-6390.

Contact Information

Primary practice address
9300 Campus Point Dr La Jolla CA 92037-1300
Phone: (858) 657-6390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19774 California
Nursing Service Providers / Registered Nurse 163W00000X 624546 California

Profile Details

NPI number 1124335807
LBN Legal business name Bongolan, Jonvanni
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2010
Last updated Dec 7th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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