Healthcare Provider Details

I. General information

NPI: 1366336315
Provider Name (Legal Business Name): BIANCA KUUNNUJI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELICA BIANCA KUNNUJI

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13547 VENTURA BLVD # 377
SHERMAN OAKS CA
91423-3825
US

IV. Provider business mailing address

13547 VENTURA BLVD # 377
SHERMAN OAKS CA
91423-3825
US

V. Phone/Fax

Practice location:
  • Phone: 415-374-0479
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: