# KRISTINE MBAMALU NURSE PRACTITIONER AND NURSING SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DEZAK MENTAL HEALTH PROVIDER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023899481
- **Authorized official:** KRISTINE MBAMALU (OWNER)
- **Authorized official phone:** (310) 531-6645

## Contact information

- **Practice address:** 21550 OXNARD ST FL 3, WOODLAND HILLS, CA 91367-7105
- **Practice address phone:** (310) 531-6645
- **Mailing address:** 21550 OXNARD ST FL 3, WOODLAND HILLS, CA 91367-7105
- **Mailing address phone:** (310) 531-6645
- **Mailing address fax:** (310) 531-6645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2023
- **Last updated:** 12/29/2025