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

Silica Dioca Bungabong

Individual provider Family Nurse Practitioner · NPI 1104293067

Silica Dioca Bungabong is a Nurse Practitioner in Los Angeles, California. Qualified in 2015, 11 years ago. Practices with Southern California Neuro Medical Services Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

4619 Rosewood Ave Apt 106
Los Angeles, CA 90004-1890
Phone: (323) 557-6317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95002654 (CA)

Record details

NPI number1104293067
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 27, 2015
Last updated in NPPESAugust 27, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southern California Neuro Medical Services Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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