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NPI Code Detail

MEDICARE: JOANNE GARDUNO N.P.

MEDICARE: JOANNE GARDUNO N.P.
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerF401100NY
2363LP0808XPsychiatric/Mental Health Nurse Practitioner95006279CA

General Provider Information

NPI Number : 1679760706
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE GARDUNO N.P.
Provider Business Mailing Address
First Line : 11 GOLDEN SHR STE 350
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-4279
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 777 S FIGUEROA ST STE 810
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-5813
Country : US
Telephone Number : 888-588-8995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2007
Last Update Date : 04/21/2025

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Directions to “ JOANNE GARDUNO N.P.” Practice Location

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