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

Individual provider Nurse Practitioner · NPI 1215537543

Gereine Mae Condino Datan is a Nurse Practitioner in Gardena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

500 W 190 St
Gardena, CA 90248
Phone: (714) 452-1961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F08201140 (CA)

Record details

NPI number1215537543
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2020
Last updated in NPPESOctober 27, 2020
Certification dateOctober 26, 2020

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