Provider Demographics
NPI:1730640624
Name:BYKOWSKI, MARIA GUADALUPE (FNP)
Entity Type:Individual
Prefix:
First Name:MARIA GUADALUPE
Middle Name:
Last Name:BYKOWSKI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5823 YORK BLVD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042
Mailing Address - Country:US
Mailing Address - Phone:626-394-3134
Mailing Address - Fax:
Practice Address - Street 1:FAMILY CARE SPECIALISTS
Practice Address - Street 2:5823 YORK BLVD, SUITE #1
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90042
Practice Address - Country:US
Practice Address - Phone:323-255-1575
Practice Address - Fax:323-255-8139
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95011439363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily