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LILY BRENGLE
NPI 1508477217
Student in an Organized Health Care Education/Training Program in Long Beach, CA

Active since August 14, 2020
200 PINE AVE STE 400, LONG BEACH, CA 90802(562) 285-1330 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lily Brengle NPPES

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

LILY BRENGLE (NPI 1508477217) is an individual student in an organized health care education/training program in Long Beach, California and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1508477217
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLILY BRENGLE
Location Address200 PINE AVE STE 400Long Beach, CA 90802-3039
Mailing Address200 Pine Ave Ste 400Long Beach, CA 90802-3039 · (562) 285-1330
Phone(562) 285-1330
Sole ProprietorNo
Enumeration DateAugust 14, 2020
NPPES CertifiedAugust 14, 2020
✔ NPI 1508477217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

200 PINE AVE STE 400, Long Beach, CA 90802
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE ILIMA BACLIG
Student in an Organized Health Care Education/Training Program
200 PINE AVE STE 400
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
ELIZABETH MARIE RIVAS
Student in an Organized Health Care Education/Training Program
200 PINE AVE STE 400
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
RAQUEL LAURIE REYNA PAZ
Student in an Organized Health Care Education/Training Program
200 PINE AVE STE 400
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
MIKE PEREZ
Case Manager/Care Coordinator
200 PINE AVE STE 400
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
MISS SOPHIA RABIEE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
200 PINE AVE STE 400
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
JEAN MENDIOLA
Case Manager/Care Coordinator
200 PINE AVE STE 400
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
WENDY ELIZABETH GARDUNO
Student in an Organized Health Care Education/Training Program
200 PINE AVE STE 400
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
MR. GREGORY FITZGERALD JAMERSON JR.
Case Manager/Care Coordinator
200 PINE AVE STE 400
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330

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 Lily Brengle's NPI number?

The NPI number for Lily Brengle is 1508477217. It was assigned to this individual provider in the NPPES registry on August 14, 2020.

Where is Lily Brengle located?

Lily Brengle practices at 200 Pine Ave Ste 400, Long Beach, CA 90802. The listed phone number is (562) 285-1330.

What is Lily Brengle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lily Brengle was last updated on August 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.