Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boo Young Jun Bardales, DNP, AGPCNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1114845567

Boo Young Jun Bardales, DNP, AGPCNP-C is a Primary Care Nurse Practitioner in Los Angeles, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone: (310) 478-3711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 95040332 (CA)

Record details

NPI number1114845567
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , AGPCNP-C
Sole proprietorNo
NPI enumeratedJuly 6, 2026
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

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