Provider Demographics
NPI:1528567427
Name:HALILI, PATRICK JOSEPH (DNP, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:JOSEPH
Last Name:HALILI
Suffix:
Gender:M
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
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Mailing Address - Street 1:8420 SAN CARLOS WAY
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-2804
Mailing Address - Country:US
Mailing Address - Phone:714-515-2993
Mailing Address - Fax:
Practice Address - Street 1:1040 ELM AVE STE 200
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3266
Practice Address - Country:US
Practice Address - Phone:562-624-4999
Practice Address - Fax:562-491-9128
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95008467363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily