Provider Demographics
NPI:1104704360
Name:REBUENO, RONALD CHRISTIAN GUEVARA (FNP)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:CHRISTIAN GUEVARA
Last Name:REBUENO
Suffix:
Gender:M
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:PO BOX 572
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-0020
Mailing Address - Country:US
Mailing Address - Phone:909-896-6776
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 572
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-0020
Practice Address - Country:US
Practice Address - Phone:909-896-6776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95036567363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily