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NPI Code Detail

MEDICARE: LILIAN KUNGU

MEDICARE: LILIAN KUNGU
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
1164X00000XLicensed Vocational Nurse708900CA

General Provider Information

NPI Number : 1659110682
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIAN KUNGU
Provider Business Mailing Address
First Line : 6107 LINDEN AVE APT 8
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-2979
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6107 LINDEN AVE APT 8
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-2979
Country : US
Telephone Number : 714-723-2870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2024
Last Update Date : 07/08/2024

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Directions to “ LILIAN KUNGU ” Practice Location

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