Tangonan, Aileen C

Tangonan, Aileen C is an individual health care provider with primary practice located at 2020 Santa Monica Blvd Suite 600, Santa Monica CA 90404-2023. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tangonan, Aileen C can be contacted via phone (310) 633-8400.

Contact Information

Primary practice address
2020 Santa Monica Blvd Suite 600 Santa Monica CA 90404-2023
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 583576 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 15854 California

Profile Details

NPI number 1780881482
LBN Legal business name Tangonan, Aileen C
Credentials MSN NP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Nov 10th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780881482 NPPES
California Other 15854 NURSE PRACTIONER LICENSE

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