Healthcare Provider Details

I. General information

NPI: 1003633686
Provider Name (Legal Business Name): MONICA LOREN BUENO MSN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7921 PAINTER AVE
WHITTIER CA
90602-2441
US

IV. Provider business mailing address

7921 PAINTER AVE
WHITTIER CA
90602-2441
US

V. Phone/Fax

Practice location:
  • Phone: 562-696-3135
  • Fax: 562-698-9598
Mailing address:
  • Phone: 562-696-3135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WS0121X
TaxonomyPlastic Surgery Registered Nurse
License Number95160001
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95032090
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: