# NUEVA VIDA PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION

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

## Provider details

- **NPI number:** 1568318582
- **Authorized official:** STEPHANIE LARSEN NP (OWNER)
- **Authorized official phone:** (310) 361-8043

## Contact information

- **Practice address:** 1849 SAWTELLE BLVD STE 610, LOS ANGELES, CA 90025-7013
- **Practice address phone:** (310) 361-8043
- **Practice address fax:** (310) 986-8241
- **Mailing address:** 1849 SAWTELLE BLVD STE 610, LOS ANGELES, CA 90025-7013
- **Mailing address phone:** (310) 361-8043
- **Mailing address fax:** (310) 986-8241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2026
- **Last updated:** 04/09/2026