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NPI Code Detail

MEDICARE: NATALIE PUNG

MEDICARE: NATALIE PUNG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner95009694CA

General Provider Information

NPI Number : 1679055586
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE PUNG
Provider Business Mailing Address
First Line : 3401 W SUNFLOWER AVE
Second Line : STE 250
City : SANTA ANA
State : CA
Zip : 92704-6948
Country : US
Telephone Number : 714-823-6797
Fax Number :
Provider Business Practice Location Address
First Line : 10168 DECIMA DR
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-7048
Country : US
Telephone Number : 714-823-6797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2018
Last Update Date : 04/12/2019

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Directions to “ NATALIE PUNG ” Practice Location

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