Amanda Gong in Clovis - Licensed Vocational Nurse
Amanda Gong - NPI 1215083738
Amanda Gong is a Licensed Vocational Nurse in Clovis, California. Amanda Gong practices all healthcare services and medical treatments related to Licensed Vocational Nurse. The NPI Number for Amanda Gong is 1215083738. The last update date is 2007-07-08.
Amanda Gong's current location address is 2857 Lincoln Ave, Clovis, California. You can contact this provider via phone number 5593256518. The mailing address for Amanda Gong is 2857 Lincoln Ave, Clovis, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Amanda Gong |
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Address | 2857 Lincoln Ave, Clovis, California |
Phone Number | 5593256518 |
Fax Number | |
Sole Proprietor | N |
Credentials | LVN |
NPI Number Detail
NPI Number | 1215083738 |
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Provider Enumeration Date | 2007-01-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2857 Lincoln Ave |
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City | Clovis |
State | California (CA) |
Post Code | 93611 |
Phone Number | 5593256518 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Licensed Vocational Nurse |
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Taxonomy | 164X00000X |
Licence No | VN214738 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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EPS014610 | CA | CALIFORNIA MEDICAID | |
RVN002950 | CA | PROGRAM |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Amanda Gong by the Centers for Medicare & Medicaid Services?
The Amanda Gong has been issued the NPI (National Provider Identifier) 1215083738, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Amanda Gong is physically located?
The Amanda Gong is situated at the following address: 2857 Lincoln Ave, Clovis, CA 93611.
What is Amanda Gong's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Amanda Gong is Licensed Vocational Nurse, and the taxonomy classification code that categorizes this area of expertise is 164X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215083738 to Amanda Gong?
The Centers for Medicare & Medicaid Services originally issued the 1215083738 to Amanda Gong on 2007-01-26.
When was the information regarding Amanda Gong, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Amanda Gong, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.