Provider Demographics
NPI:1073826541
Name:SALONGA-MORENO, DONNABELLE REYES (NP)
Entity Type:Individual
Prefix:
First Name:DONNABELLE
Middle Name:REYES
Last Name:SALONGA-MORENO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2799 TEMPLE AVE
Mailing Address - Street 2:
Mailing Address - City:SIGNAL HILL
Mailing Address - State:CA
Mailing Address - Zip Code:90755-2210
Mailing Address - Country:US
Mailing Address - Phone:562-981-9500
Mailing Address - Fax:562-506-0537
Practice Address - Street 1:2799 TEMPLE AVE
Practice Address - Street 2:
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-2210
Practice Address - Country:US
Practice Address - Phone:562-981-9500
Practice Address - Fax:562-506-0537
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20053363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily