Provider Demographics
NPI:1851169379
Name:BC, PROFESSIONAL NURSING CORPORATION
Entity Type:Organization
Organization Name:BC, PROFESSIONAL NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:CADIZ
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:714-253-6570
Mailing Address - Street 1:9252 GARDEN GROVE BLVD.
Mailing Address - Street 2:STE 19. PMB10
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844
Mailing Address - Country:US
Mailing Address - Phone:714-253-6570
Mailing Address - Fax:
Practice Address - Street 1:421 N BROOKHURST ST STE 119
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5618
Practice Address - Country:US
Practice Address - Phone:714-361-0898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-14
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty