363LA2100X
Van Nuys, CA
Specialty
363LA2100X
Credential
RN, NP
NPI
1992231179
6815 Noble Ave, Van Nuys, CA 91405
(818) 901-6690Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X