Healthcare Provider Details

I. General information

NPI: 1831965193
Provider Name (Legal Business Name): THUJI LHAMU DNP, AGCNS-BC, CMSRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 FROST ST
SAN DIEGO CA
92123-2701
US

IV. Provider business mailing address

1250 CANTER RD
ESCONDIDO CA
92027-4449
US

V. Phone/Fax

Practice location:
  • Phone: 858-939-6345
  • Fax:
Mailing address:
  • Phone: 619-341-3324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number4918
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: