Individual provider · NPI-1

Athena Auberry

Technician, Other, Renal Dialysis · Los Angeles, CA

NPI number1609754977
StatusActive
Last updated in NPPESAug 25, 2025

Details

NPI
1609754977
Entity type
Individual (NPI-1)
Name
Athena Auberry
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 25, 2025
Certification date
Aug 25, 2025
Last updated
Aug 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2472R0900X Technician, Other, Renal Dialysis––Yes

Practice location

8200 S Normandie Ave
Los Angeles, CA 90044-2336

Phone 310-251-8720

Mailing address

8200 S Normandie Ave
Los Angeles, CA 90044-2336

Phone 323-676-1281

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