Guillermo Beene Vicencio in San Dimas - Licensed Vocational Nurse
Guillermo Beene Vicencio - NPI 1386862068
Guillermo Beene Vicencio is a Licensed Vocational Nurse in San Dimas, California. Guillermo Beene Vicencio practices all healthcare services and medical treatments related to Licensed Vocational Nurse. The NPI Number for Guillermo Beene Vicencio is 1386862068. The last update date is 2007-07-08.
Guillermo Beene Vicencio's current location address is 1015 Kent Dr, San Dimas, California. You can contact this provider via phone number 9099625014. The mailing address for Guillermo Beene Vicencio is 1015 Kent Dr, San Dimas, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Guillermo Beene Vicencio |
|---|---|
| Address | 1015 Kent Dr, San Dimas, California |
| Phone Number | 9099625014 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LVN |
NPI Number Detail
| NPI Number | 1386862068 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1015 Kent Dr |
|---|---|
| City | San Dimas |
| State | California (CA) |
| Post Code | 917734611 |
| Phone Number | 9099625014 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Vocational Nurse |
|---|---|
| Taxonomy | 164X00000X |
| Licence No | VN223287 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from |
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What is the unique identifier code issued to Guillermo Beene Vicencio by the Centers for Medicare & Medicaid Services?
The Guillermo Beene Vicencio has been assigned the NPI (National Provider Identifier) 1386862068. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Guillermo Beene Vicencio's facilities are geographically located?
The facilities of Guillermo Beene Vicencio are physically situated at the following location: 1015 Kent Dr, San Dimas, CA, 917734611.
What is Guillermo Beene Vicencio's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Guillermo Beene Vicencio is Licensed Vocational Nurse, and the corresponding taxonomy classification code for this specialized field is 164X00000X.
On what date did the Guillermo Beene Vicencio receive its 1386862068 assignment from the Centers for Medicare & Medicaid Services?
The Guillermo Beene Vicencio was assigned its 1386862068 by the Centers for Medicare & Medicaid Services on 2007-04-20.
As of what date were the Guillermo Beene Vicencio's details last updated?
The information pertaining to the Guillermo Beene Vicencio, including its address, specialty, and other details, was most recently updated on 2007-07-08.