Provider Demographics
NPI:1336657204
Name:BAILON, LLURIANA (FNP-C)
Entity Type:Individual
Prefix:
First Name:LLURIANA
Middle Name:
Last Name:BAILON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 E WASHINGTON BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90021-3068
Mailing Address - Country:US
Mailing Address - Phone:323-233-3100
Mailing Address - Fax:
Practice Address - Street 1:1005 E WASHINGTON BLVD STE A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90021-3082
Practice Address - Country:US
Practice Address - Phone:323-233-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-13
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA687017163W00000X
CA95007882363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse