Thalia Lebogang Bruce, is a
Foster Care Agency based in North Hollywood, California. Thalia Lebogang Bruce is licensed to practice in * (Not Available) (license number ) and her current practice location is
5519 Bonner Ave Apt 2, North Hollywood, California. She can be reached at her office (for appointments etc.) via phone at
(661) 993-8542.
NPI number for Thalia Lebogang Bruce is 1457982522 and her current mailing address is 5519 Bonner Ave Apt 2, North Hollywood, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457982522.
Provider's Profile
Full Name | Thalia Lebogang Bruce |
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Gender | Female |
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Speciality | Foster Care Agency |
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Location | 5519 Bonner Ave Apt 2, North Hollywood, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457982522
- Provider Enumeration Date: 01/28/2020
- Last Update Date: 01/28/2020
Medical Identifiers
Medical identifiers for Thalia Lebogang Bruce such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457982522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 95192120 (California) | Secondary |
253J00000X | Foster Care Agency | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thalia Lebogang Bruce is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Thalia Lebogang Bruce, 5519 Bonner Ave Apt 2, North Hollywood, CA 91601-5723 Ph: (661) 993-8542 | Thalia Lebogang Bruce, 5519 Bonner Ave Apt 2, North Hollywood, CA 91601-5723 Ph: (661) 993-8542 |
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