Provider Demographics
NPI:1083486815
Name:BITUN, CHERYL YAGUE (LVN)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:YAGUE
Last Name:BITUN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:BITUN
Other - Last Name:ESTACIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:23346 CAMINITO TELMO
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1666
Mailing Address - Country:US
Mailing Address - Phone:949-280-1046
Mailing Address - Fax:
Practice Address - Street 1:405 W 5TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4599
Practice Address - Country:US
Practice Address - Phone:714-834-5520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA724575164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse