# AJK PERIOPERATIVE NURSING SERVICES INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174195085
- **Authorized official:** AMELIA KOLENC (NURSE PRACTITIONER)
- **Authorized official phone:** (412) 508-0806

## Contact information

- **Practice address:** 30200 AGOURA RD STE 195, AGOURA HILLS, CA 91301-5432
- **Practice address phone:** (805) 497-3622
- **Mailing address:** 21201 KITTRIDGE ST APT 9406, WOODLAND HILLS, CA 91303-5044
- **Mailing address phone:** (412) 508-0806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | Yes |
| 163WR0006X | Registered Nurse First Assistant | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2021
- **Last updated:** 07/12/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1487150744 | — | CA |