Provider Demographics
NPI:1871308858
Name:BALURAN, EDWIN JONATHAN ASPILI (NP)
Entity type:Individual
Prefix:
First Name:EDWIN JONATHAN
Middle Name:ASPILI
Last Name:BALURAN
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 SHOREVIEW PL
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-3419
Mailing Address - Country:US
Mailing Address - Phone:619-471-5291
Mailing Address - Fax:
Practice Address - Street 1:325 KEMPTON ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91977-5810
Practice Address - Country:US
Practice Address - Phone:619-931-1110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-08
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033287363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily