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Susiati Gunawan, LVN
Licensed Vocational Nurse in Costa Mesa, California
NPI 1598133357

Susiati Gunawan is a Licensed Vocational Nurse based in Costa Mesa, CA. Susiati Gunawan practices in Costa Mesa, CA and has the professional credentials of LVN. The NPI Number for Susiati Gunawan is 1598133357 and holds a License No. VN257822 (California).

The current practice location address for Susiati Gunawan is 2401 Venier Way, Costa Mesa, CA and can be reached out via phone at 714-260-8386.

Location: 2401 Venier Way, Costa Mesa, CA, 92627-1441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598133357
Provider Name
Susiati Gunawan
Credential
LVN
Provider Entity Type
Individual
Gender
Female
Address
2401 Venier Way, Costa Mesa, CA, 92627-1441
Phone Number
714-260-8386
Fax Number
Provider Enumeration Date
09/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2401 Venier Way
City
Costa Mesa
State
California
Zip
92627-1441
Phone Number
714-260-8386
Fax Number
person
Provider Business Mailing Address Details
Address
2401 Venier Way
City
Costa Mesa
State
California
Zip
92627-1441
Phone Number
714-260-8386
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
VN257822 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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