Organization · NPI-2
A-List Nursing INC
Nurse Practitioner, Family · Los Angeles, CA
NPI number1376344093
StatusActive
Last updated in NPPESMar 19, 2025
Details
- NPI
- 1376344093
- Entity type
- Organization (NPI-2)
- Legal business name
- A-List Nursing INC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2025
- Certification date
- Mar 19, 2025
- Last updated
- Mar 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Other names
- The A-List Clinic (Doing Business As)
Practice location
12333 1/2 W Washington BlvdLos Angeles, CA 90066-5509
Phone 310-904-6414
Mailing address
12333 1/2 W Washington BlvdLos Angeles, CA 90066-5509
Phone 310-904-6414
Authorized official
Czarina Enriquez
Owner
3109046414
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