Provider Demographics
NPI:1487444162
Name:BOUNDAOUI, YAMINA (RN)
Entity type:Individual
Prefix:
First Name:YAMINA
Middle Name:
Last Name:BOUNDAOUI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:YAMINA
Other - Middle Name:
Other - Last Name:HAMLAOUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:490 GRAPE ST
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025
Mailing Address - Country:US
Mailing Address - Phone:760-975-9939
Mailing Address - Fax:
Practice Address - Street 1:490 GRAPE ST
Practice Address - Street 2:490
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-975-9939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95387206163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse