Organization
KRISTINE MBAMALU NURSE PRACTITIONER AND NURSING SERVICES INC
Active
Other names
DEZAK MENTAL HEALTH PROVIDER
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE MBAMALU (OWNER)
(310) 531-6645
Entity
Organization
Contact information
Practice address
21550 OXNARD ST FL 3, WOODLAND HILLS, CA 91367-7105
(310) 531-6645
Mailing address
21550 OXNARD ST FL 3, WOODLAND HILLS, CA 91367-7105
(310) 531-6645
(310) 531-6645
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
12/29/2025
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