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CHARLLIE BONGOLAN FNP-BC
NPI 1437959822
Nurse Practitioner - Family in West Hollywood, CA

Active since March 15, 2025
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048(310) 423-4655 Get Directions Write a Review

NPPES record last updated: March 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charllie Bongolan Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLLIE BONGOLAN FNP-BC (NPI 1437959822) is an individual family provider in West Hollywood, California, licensed in California (95022864) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1437959822
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLLIE BONGOLANCredential: FNP-BC
Location Address8700 BEVERLY BLVDWest Hollywood, CA 90048-1804
Mailing Address17036 Kirk View DrHacienda Heights, CA 91745-6704 · (626) 347-2152
Phone(310) 423-4655
Sole ProprietorYes
Enumeration DateMarch 15, 2025
NPPES CertifiedMarch 15, 2025
✔ NPI 1437959822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95022864
8700 BEVERLY BLVD, West Hollywood, CA 90048
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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.

DR. BERNICE LOUISE COLEMAN PH.D, ACNP-BC
Nurse Practitioner (Acute Care)
8700 BEVERLY BLVD, NORTH TOWER ROOM 6215
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-6178
DR. INGRID LEAH DOMBROWER M.D.
Psychiatry & Neurology (Psychiatry)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-2871
ELAINE WITTERT MSW
Social Worker (Clinical)
8700 BEVERLY BLVD, SUITE AC1002
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-3119
DR. KENAN MOHAMMED NADAR D.O.
Pediatrics
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-4451
HAE YOON GRACE CHOUNG MD
Pathology (Anatomic Pathology & Clinical Pathology)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-6623
CASEY DISTASO MD
Emergency Medicine
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-8780
CHIARA CASAS NP
Nurse Practitioner (Pediatrics)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-3277
PHILIP CHENG MD
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-1682

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 Charllie Bongolan's NPI number?

The NPI number for Charllie Bongolan is 1437959822. It was assigned to this individual provider in the NPPES registry on March 15, 2025.

Where is Charllie Bongolan located?

Charllie Bongolan practices at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (310) 423-4655.

What is Charllie Bongolan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Charllie Bongolan was last updated on March 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.