Jonvanni Bongolan is a family nurse practitioner in La Jolla, CA with 14 years of experience. Jonvanni Bongolan NPI is 1124335807. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
9300 CAMPUS POINT DR
LA JOLLA, CA
ZIP 92037-300
Phone: (858) 657-6390
The NPI 1124335807 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/2/2010 and was last updated on 12/7/2010.