Queenscare Family Clinic

NPI 1104800176 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1104800176
Enumeration Date 12/02/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name PAULA L PAULA
Position FNP
Phone (213) 380-7298
Fax (213) 384-0951
Practice Location
150 N RENO ST
LOS ANGELES CA, 90026-4656, US
Phone (213) 380-7298
Fax (213) 384-0951
Business Location
150 N RENO ST
LOS ANGELES CA, 90026-4656, US
Phone (213) 380-7298
Fax (213) 384-0951
Toxanomy
Taxonomy Code 363LF0000X
License State California
License Number 510678
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According to our database, Queenscare Family Clinic NPI is 1104800176, taxonomy code is 363LF0000X and license number is 510678, license state is located at California. Queenscare Family Clinic physically located at 150 N Reno St, Los Angeles CA, 90026-4656. NPI Number 1033115704 has the healthcare provider type.

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1104800176 NPI number is provided on an as is basis without warranty of any kind. 1104800176 is maintained by the National Plan & Provider Enumeration System. The contents of Queenscare Family Clinic are for informational purposes only.