ILSU MIN NPI 1689150096

NPI Information

NPI: 1689150096
Provider Name: ILSU MIN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4811 VALDINA WAY
SAN DIEGO, CA
ZIP 92124
Phone: (316) 304-3580
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Ilsu Min is a family nurse practitioner in San Diego, CA. Ilsu Min NPI is 1689150096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4811 VALDINA WAY
SAN DIEGO, CA
ZIP 92124-427
Phone: (316) 304-3580

The enumeration date for this NPI number is 7/18/2018 and was last updated on 7/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	NP95008001	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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