# FULL CIRCLE PREMIUM HEALTH A PROFESSIONAL NURSING CORPORATION

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

## Provider details

- **NPI number:** 1720964463
- **Authorized official:** ABIGAIL GRACE PRUSHANSKY (OWNER)
- **Authorized official phone:** (424) 247-7397

## Contact information

- **Practice address:** 4201 TORRANCE BLVD STE 380, TORRANCE, CA 90503-4501
- **Practice address phone:** (424) 247-7397
- **Mailing address:** 4201 TORRANCE BLVD STE 380, TORRANCE, CA 90503-4501
- **Mailing address phone:** (424) 247-7397
- **Mailing address fax:** (424) 571-9734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | — |
| 176B00000X | Midwife | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | NULL | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2025
- **Last updated:** 07/09/2026