Pongo, Andrea

Pongo, Andrea is an individual health care provider with primary practice located at 3355 Cochran St Ste 205 , Simi Valley CA 93063-2500. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Pongo, Andrea can be contacted via phone (661) 347-8342.

Contact Information

Primary practice address
3355 Cochran St Ste 205 Simi Valley CA 93063-2500
Fax: (661) 481-7277
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 567 California

Profile Details

NPI number 1043773369
LBN Legal business name Pongo, Andrea
Credentials LM, CPM
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2019
Last updated Oct 3rd, 2022 - about 4 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.

Request for update

Popular Providers