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Jan Matthew Ravina Angeles, NP

Nurse Practitioner in Van Nuys, CA. Individual provider (NPI-1).

NPI number1942989801
StatusActive
Last updated in NPPESSep 2, 2025

Details

NPI
1942989801
Entity type
Individual (NPI-1)
Name
Jan Matthew Ravina Angeles
Credential
NP
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 17, 2023
Certification date
Sep 2, 2025
Last updated
Sep 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner95025746CAYes

Practice location

6815 Noble Ave
Van Nuys, CA 91405-3796

Phone 818-901-6600

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

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