Healthcare Provider Details

I. General information

NPI: 1174434401
Provider Name (Legal Business Name): RONNA KUNDAI MAPOSA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2490 HOSPITAL DR STE 311
MOUNTAIN VIEW CA
94040-4126
US

IV. Provider business mailing address

3181 BERRYESSA ST APT 6
PALO ALTO CA
94303-4053
US

V. Phone/Fax

Practice location:
  • Phone: 650-962-4690
  • Fax:
Mailing address:
  • Phone: 214-214-4935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number95273603
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: