Healthcare Provider Details

I. General information

NPI: 1013677269
Provider Name (Legal Business Name): FEMILA BIJU JOSEPH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2021
Last Update Date: 10/15/2024
Certification Date: 12/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 N EAST ST
ANAHEIM CA
92805-3341
US

IV. Provider business mailing address

2968 LOMBARDY LN
CORONA CA
92881-8470
US

V. Phone/Fax

Practice location:
  • Phone: 714-491-1771
  • Fax:
Mailing address:
  • Phone: 951-479-6279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number95017659
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: