Individual provider · NPI-1

Valeria M Amezola, BSN

Nurse Practitioner, Pediatrics · Los Angeles, CA

NPI number1295030401
StatusActive
Last updated in NPPESOct 15, 2024

Details

NPI
1295030401
Entity type
Individual (NPI-1)
Name
Valeria M Amezola
Credential
BSN
Sex
Female
Sole proprietor
No
Enumeration date
Jan 19, 2011
Last updated
Oct 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics95012364CAYes
171M00000X Case Manager/Care Coordinator––

Practice location

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Phone 323-361-4060

Mailing address

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Other practice locations

3020 Childrens Way # Mc51354
San Diego, CA 92123-4223

Phone 858-966-1700 · Fax 858-966-7508

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Phone 323-361-4060

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