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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONVANNI BONGOLAN

Active

JONVANNI BONGOLAN is a Family Nurse Practitioner healthcare provider located in LA JOLLA, California. NPI 1124335807 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · LA JOLLA, CA

Registration Details

NPI Number
1124335807
Provider Type
Individual
Gender
Male
NPI Issued
Sep 2, 2010 (15.940821807215 yrs)
Last Updated
Dec 7, 2010
Licenses
19774 (CA)
624546 (CA)

Practice Information

Address
9300 CAMPUS POINT DR
LA JOLLA, CA, 920371300
Browse CA providers · Browse ZIP 92037
Phone
8586576390
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Registered Nurse

Other Family Nurse Practitioner Providers in LA JOLLA, CA

Name Credential NPI
ELIZABETH MANOGUE NP 1497754584
MR. ROBERT SUTHERLAND JONES FNP 1699783852
MS. MARILEE KAY NEBELSICK-TAGG FNP 1831102300
MS. KATHRYN VICTORIA FREDERICK LOUV RN, MN, FNP 1477667087
JANE MARIE HADINGER CFNP, CPNP 1629158589
MS. DEANNA LYNN KUDULIS NP 1285715052
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.