Provider Demographics
NPI:1801446232
Name:BUNUAN, MARGARITA G
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:G
Last Name:BUNUAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 ROSECRANS AVE SPC 124
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-2520
Mailing Address - Country:US
Mailing Address - Phone:562-529-2392
Mailing Address - Fax:
Practice Address - Street 1:7101 ROSECRANS AVE SPC 124
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-2520
Practice Address - Country:US
Practice Address - Phone:562-529-2392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty