Healthcare Provider Details

I. General information

NPI: 1205589520
Provider Name (Legal Business Name): JOAN PATRICIA GULA-BITONIO NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOAN PATRICIA GULA RN

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 09/13/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SAN PABLO ST
LOS ANGELES CA
90033-5313
US

IV. Provider business mailing address

4821 LANKERSHIM BLVD # F163
NORTH HOLLYWOOD CA
91601-4538
US

V. Phone/Fax

Practice location:
  • Phone: 800-872-2273
  • Fax:
Mailing address:
  • Phone: 562-537-9652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95019823
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number95019823
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: