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Russellie Bongolan
NPI 1154657674 · Social Worker · Los Angeles, CA
Russellie Bongolan is a Social Worker provider in Los Angeles, CA (NPI 1154657674).
Provider details
- NPI number
- 1154657674
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone: (310) 478-3711
Approximate (ZIP-level) locationGet directions
Mailing address
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Registry dates
- Enumerated
- 2009-10-19
- Last updated
- 2011-06-28
Frequently asked questions
- What is Russellie Bongolan's NPI number?
- Russellie Bongolan's National Provider Identifier (NPI) is 1154657674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russellie Bongolan's specialty?
- Russellie Bongolan is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Russellie Bongolan located?
- Russellie Bongolan's practice location on file with NPPES is 11301 Wilshire Blvd, Los Angeles, CA 90073-1003.
- What is Russellie Bongolan's phone number?
- The practice phone number listed in the NPPES registry for Russellie Bongolan is (310) 478-3711.
- Is Russellie Bongolan's NPI active?
- Yes — Russellie Bongolan's NPI (1154657674) is active in the NPPES registry as of the last update on 2011-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.