Provider Demographics
NPI:1336508506
Name:BEBAL, BRENDA L (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:L
Last Name:BEBAL
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Gender:F
Credentials:FNP-C
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Mailing Address - Street 1:10737 CAMINO RUIZ; STE 235
Mailing Address - Street 2:OPERATION SAMAHAN HEALTH CLINIC
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126
Mailing Address - Country:US
Mailing Address - Phone:858-578-4220
Mailing Address - Fax:858-578-4417
Practice Address - Street 1:10737 CAMINO RUIZ; STE 235
Practice Address - Street 2:OPERATION SAMAHAN HEALTH CLINIC
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126
Practice Address - Country:US
Practice Address - Phone:858-578-4220
Practice Address - Fax:858-578-4417
Is Sole Proprietor?:No
Enumeration Date:2016-02-17
Last Update Date:2024-12-12
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Provider Licenses
StateLicense IDTaxonomies
CA95003948363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily