Healthcare Provider Details

I. General information

NPI: 1134063167
Provider Name (Legal Business Name): TREASURE NGERE TREASURE NGERE REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16250 HOMECOMING DR UNIT 1749
CHINO CA
91708-8861
US

IV. Provider business mailing address

16250 HOMECOMING DR UNIT 1749
CHINO CA
91708-8861
US

V. Phone/Fax

Practice location:
  • Phone: 909-212-2281
  • Fax: 909-212-2281
Mailing address:
  • Phone: 909-212-2281
  • Fax: 909-212-2281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95354649
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: