Provider Demographics
NPI:1336485853
Name:BILAUCA, MARIUS (RN)
Entity Type:Individual
Prefix:
First Name:MARIUS
Middle Name:
Last Name:BILAUCA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 E SANTA FE CT
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-6002
Mailing Address - Country:US
Mailing Address - Phone:714-333-5448
Mailing Address - Fax:
Practice Address - Street 1:247 E SANTA FE CT
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-6002
Practice Address - Country:US
Practice Address - Phone:714-333-5448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA822953163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice