Basic Information
| Provider Information | |||||||||
| NPI: | 1003140013 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MONZON-DULLER | ||||||||
| FirstName: | JOMARIE | ||||||||
| MiddleName: | ESTEBAN | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14017 RAVENWOOD DR | ||||||||
| Address2: | |||||||||
| City: | CHINO HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917091790 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3235809289 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8730 ALDEN DRIVE | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90048 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104230926 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/23/2009 | ||||||||
| LastUpdateDate: | 09/23/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC0200X | 698890 | CA | N | Nursing Service Providers | Registered Nurse | Critical Care Medicine | 363LF0000X | 19099 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.