Provider Demographics
NPI:1063384980
Name:PANGANIBAN, KAROLYN CELIS (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KAROLYN
Middle Name:CELIS
Last Name:PANGANIBAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16704 CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5204
Mailing Address - Country:US
Mailing Address - Phone:562-925-7033
Mailing Address - Fax:562-867-8123
Practice Address - Street 1:16704 CLARK AVE
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5204
Practice Address - Country:US
Practice Address - Phone:562-925-7033
Practice Address - Fax:562-867-8123
Is Sole Proprietor?:No
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034107363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily