Fong, Nanette Caballes
Fong, Nanette Caballes is an individual health care provider with primary practice located at 300 Medical Plaza B200 , Los Angeles CA 90095-3075. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fong, Nanette Caballes can be contacted via phone (310) 794-1195.Contact Information
Primary practice address
300 Medical Plaza B200
Los Angeles CA 90095-3075
Phone: (310) 794-1195
Fax: (310) 794-7491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 588928 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 2298 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 15820 | California |
Profile Details
| NPI number | 1154355758 |
|---|---|
| LBN Legal business name | Fong, Nanette Caballes |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jan 16th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154355758 | NPPES |
| California | MEDICAID | 00G634350 |
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