Esther Bolanos, RN
Individual provider Active NPI Registered Nurse · Mentone, CA
NPI 1083187645 · NPPES record last updated Sep 4, 2021
Key facts
- NPI
- 1083187645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 807082 (CA)
- Practice address
- 1370 Tourmaline Ave
Mentone, CA 92359-1239 - Phone
- (323) 534-0102
- NPI assigned
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 807082 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 807082 | CA | Yes |
Addresses
Primary practice location
1370 Tourmaline Ave
Mentone, CA 92359-1239
Mailing address
1370 Tourmaline Ave
Mentone, CA 92359-1239
Phone (323) 534-0102
Other providers in Mentone, CA
- Arrowhead Senior Villas
- Bindiya Bajracharya
- Dejah Janae Benz
- Selah Aliyah Bourne
- Braswells Ivy Retreat LTD
- Building a Generation
- Jackie Ann Burman-Solgan
- Rachel Cabuhat
All providers in Mentone, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.