Ma Jonette Panizales Balagtas, PNP
Nurse Practitioner, Pediatrics, Critical Care in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982139226
StatusActive
Last updated in NPPESAug 21, 2018
Details
- NPI
- 1982139226
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ma Jonette Panizales Balagtas
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2017
- Last updated
- Aug 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0222X | Nurse Practitioner, Pediatrics, Critical Care | 748810 | CA | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | 748810 | CA |
Practice location
4650 W Sunset BlvdLos Angeles, CA 90027
Phone 323-361-4148
Mailing address
4650 W Sunset BlvdLos Angeles, CA 90027-6062
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