Provider Demographics
NPI:1366240855
Name:PATUBO, JOSHUA HILARIO (RN, BSN, MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:HILARIO
Last Name:PATUBO
Suffix:
Gender:M
Credentials:RN, BSN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:16510 ADENMOOR AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5747
Mailing Address - Country:US
Mailing Address - Phone:818-439-8930
Mailing Address - Fax:
Practice Address - Street 1:16510 ADENMOOR AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5747
Practice Address - Country:US
Practice Address - Phone:818-439-8930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034201363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily