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Search › California › Family Nurse Practitioner

Kandavin Sumilat

NPI 1609457753 · on the registry since 2021

Practice

Address
2195 Club Center Dr Ste A
San Bernardino, CA 92408
Phone
(909) 654-2119
Organisation at this address
Faculty Physicians And Surgeons Of Llusm
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-09

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