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General NPI Number Information
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NPI Number | 1942999297
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Entity Type | Individual
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Provider Name | MONICA V. HALILI FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/03/2023
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 23521 PASEO DE VALENCIA
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3107
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Country | US
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Telephone | 949-659-6757
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Fax |
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Provider Business Mailing Address
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Address Line | 25182 CAMPO ROJO
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City | LAKE FOREST
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State | CA
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Zip | 92630-4210
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95025885
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License Number State | CA
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