Search › California › 101YA0400X
Faviola Panduro
NPI 1487113114 · on the registry since 2019
Practice
- Address
- 18612 Santa Ana Ave
Bloomington, CA 92316 - Phone
- (909) 421-7120
- Fax
- (909) 421-7128
- Organisation at this address
- Social Science Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 172
Additional practice sites
- 1481 Windsor Dr, San Bernardino, CA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 175T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California