Healthcare Provider Details

I. General information

NPI: 1407078462
Provider Name (Legal Business Name): NATALIE LYNN CARBUNARU RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 DUARTE RD
DUARTE CA
91010-3012
US

IV. Provider business mailing address

4203 COLFAX AVE UNIT B
STUDIO CITY CA
91604-2950
US

V. Phone/Fax

Practice location:
  • Phone: 626-256-4673
  • Fax: 626-301-8285
Mailing address:
  • Phone: 818-506-4635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number524103
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WU0100X
TaxonomyUrology Registered Nurse
License Number524103
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: