BRANDON PHILIP OBERO VINZON


Address: 155 E 4th St Apt 206, Long Beach, CA 90802-2498
Phone: 3106780500

BRANDON PHILIP OBERO VINZON (NPI# 1497361612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497361612
Entity Type Individual
Full Name BRANDON PHILIP OBERO VINZON
Practice Address 155 E 4th St Apt 206
Long Beach
CA 90802-2498
Practice Telephone 3106780500
Mailing Telephone 3106780500
Enumeration Date 2020-09-22
Last Update Date 2020-09-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
95011156 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 155 E 4TH ST APT 206
City LONG BEACH
State CA
Zip Code 90802-2498

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1073175881 David Coleman Counselor 735 West 4th St, Unit D, Long Beach, CA 90802 2019-07-01
1235612193 Linda Nyagaya Nurse Practitioner 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 2018-09-06
1669998670 Jessica Huerta Student in an Organized Health Care Education/Training Program 456 Elm, Long Beach, CA 90802 2017-08-22
1316462484 Kathlyn Pearl Parlet Counselor 351 E. 6th. Street, Long Beach, CA 90802 2017-08-09
1386168136 Shena Young Psychologist 404 East First St #1191, Long Beach, CA 90802 2017-08-02
1215472758 Vanessa Pons Marriage & Family Therapist 735 W 4th St Unit A, Long Beach, CA 90802 2016-12-19
1821459330 Surabhi Shah Occupational Therapist 330 Golden Shores, Suite 250, Long Beach, CA 90802 2016-03-10
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275004145 Rayveion Laquita Medlock Nurse Practitioner 40 Cedar Walk Unit 2115, Long Beach, CA 90802-7922 2018-12-17
1528451820 Marjorie Buencamino Nurse Practitioner 8140 E Token St, Long Beach, CA 90808-3355 2015-03-11
1063800480 Lily Te Long Nurse Practitioner 2046 Atlantic Ave, Long Beach, CA 90806-4916 2015-01-07
1306278924 Christopher Stephen Gentry Nurse Practitioner 2700 Bellflower Blvd, #112, Long Beach, CA 90822 2013-08-06
1558619718 Christina Pearce Nurse Practitioner 3325 Palo Verde Ave Ste 203, Long Beach, CA 90808-4132 2012-08-20
1538202866 Regina A. Clifton Nurse Practitioner 999 Atlantic Ave, Suite 203, Long Beach, CA 90813-4514 2007-02-15
1578173951 Candace Cam Nurse Practitioner 2650 Elm Ave Ste 301, Long Beach, CA 90806-1600 2020-07-31
1609404110 Amber Haney Nurse Practitioner 780 Atlantic Ave, Long Beach, CA 90813-4565 2020-03-30
1366083099 Loren Rachel Chan Nurse Practitioner 701 E 28th St, Long Beach, CA 90806-2759 2019-10-03
1043878895 Eileen Heng Nurse Practitioner 701 E 28th St Ste 419, Long Beach, CA 90806-2775 2019-06-05
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Competitor

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City LONG BEACH
Zip Code 90802

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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