Mary Elaine Constantino Aguilar-Choomngern, NP
Registered Nurse, Medical-Surgical in Long Beach, CA. Individual provider (NPI-1).
NPI number1033765474
StatusActive
Last updated in NPPESAug 12, 2019
Details
- NPI
- 1033765474
- Entity type
- Individual (NPI-1)
- Name
- Mary Elaine Constantino Aguilar-Choomngern
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2019
- Last updated
- Aug 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WM0705X | Registered Nurse, Medical-Surgical | 713511 | CA | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | NP95009689 | CA | |
| 363LA2200X | Nurse Practitioner, Adult Health | NP95009689 | CA | |
| 363LG0600X | Nurse Practitioner, Gerontology | NP95009689 | CA |
Practice location
2801 Atlantic AveLong Beach, CA 90806-1701
Phone 562-933-3005
Mailing address
5601 Wagner AveLakewood, CA 90712-1467
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