Doctor Name: | DONNABELLE REYES SALONGA-MORENO |
NPI Number: | 1073826541 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 20053 |
Business Practice Address: | 2799 Temple Ave Signal Hill, CA - 907552210 |
Business Phone Number: | 5629819500 |
Business Fax Number: | 5625060537 |
Mailing Address: | 2799 Temple Ave, SIGNAL HILL |
State: | CA |
Postal Code: | 907552210 |
Phone Number: | 5629819500 |
Fax Number: | 5625060537 |
NPI Enumeration Date: | 07/26/2010 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 20053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |