Individual
SARAH JANE MOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(310) 673-4660
Mailing address
215 N MARYLAND AVE UNIT 206, GLENDALE, CA 91206-4755
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
767049
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95007316
CA
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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