BOO YOUNG JUN BARDALES DNP, AGPCNP-C
NPI 1114845567
Nurse Practitioner - Primary Care in Los Angeles, CA
About Boo Young Jun Bardales Dnp, Agpcnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOO YOUNG JUN BARDALES DNP, AGPCNP-C (NPI 1114845567) is an individual primary care provider in Los Angeles, California, licensed in California (95040332) and active in the NPI registry since July 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90073
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Boo Young Bardales's NPI number?
The NPI number for Boo Young Bardales is 1114845567. It was assigned to this individual provider in the NPPES registry on July 6, 2026.
Where is Boo Young Bardales located?
Boo Young Bardales practices at 11301 Wilshire Blvd, Los Angeles, CA 90073. The listed phone number is (310) 478-3711.
What is Boo Young Bardales's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
When was this NPI record last updated?
The NPPES record for Boo Young Bardales was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
