Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 15587 | CA |
NPI | 1003938556 |
---|---|
Provider Name | Ybelynn Carandang Alaan |
First Address | Bellflower, CA 90706-5209 |
Second Address | Bellflower, CA 90706-5209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
15587 | NP FURNISHING (01) | CA |
567544 | RN LICENSE (01) | CA |