LOS ANGELES UNIFIED SCHOOL DISTRICT
Organization (NPI-2)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1699187484- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 121 N BEAUDRY AVE, LOS ANGELES, CA, 900122009
- Phone
- (213) 202-7533
- Fax
- (213) 580-6557
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: CA #23764