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NPI Code Detail

MEDICARE: YOLANDA BERUMEN NP

MEDICARE:   YOLANDA  BERUMEN  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner624703CA

General Provider Information

NPI Number : 1548574841
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA BERUMEN NP
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-579-3203
Fax Number :
Provider Business Practice Location Address
First Line : 22635 ALESSANDRO BLVD STE A
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92553-8550
Country : US
Telephone Number : 702-579-3203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2010
Last Update Date : 11/14/2025

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Directions to “ YOLANDA BERUMEN NP” Practice Location

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