Capulong, Charlotte

Capulong, Charlotte is an sole proprietor health care provider with primary practice located at 130 West Route 66 Ste 326, Glendora CA 91740-6252. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Capulong, Charlotte can be contacted via phone (626) 963-8588.

Contact Information

Primary practice address
130 West Route 66 Ste 326 Glendora CA 91740-6252
Phone: (626) 963-8588
Fax: (626) 963-8578
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP23824 California

Profile Details

NPI number 1417370065
LBN Legal business name Capulong, Charlotte
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2014
Last updated Jan 31st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417370065 NPPES
California Other NP23824 STATE LICENSE

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