Individual provider · NPI-1

Mardon Romulo Abesamis

Nurse Practitioner, Family · Loma Linda, CA

NPI number1982551925
StatusActive
Last updated in NPPESMar 16, 2026

Details

NPI
1982551925
Entity type
Individual (NPI-1)
Name
Mardon Romulo Abesamis
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 10, 2026
Certification date
Mar 16, 2026
Last updated
Mar 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95039015CAYes
163W00000X Registered Nurse95262145CA

Practice location

25534 Huron St
Loma Linda, CA 92354-3721

Phone 909-809-1621

Mailing address

25534 Huron St
Loma Linda, CA 92354-3721

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