Marla Viridiana Burgos
Community Health Worker in Van Nuys, CA. Individual provider (NPI-1).
NPI number1427834738
StatusActive
Last updated in NPPESSep 1, 2023
Details
- NPI
- 1427834738
- Entity type
- Individual (NPI-1)
- Name
- Marla Viridiana Burgos
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2023
- Certification date
- Sep 1, 2023
- Last updated
- Sep 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
6931 Van Nuys BlvdVan Nuys, CA 91405-3937
Phone 818-989-9214
Mailing address
12076 Peoria StSun Valley, CA 91352-2321
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