Individual
ADRIAN ALTAREJOS MACAVINTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1486
(818) 996-1051
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1486
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95448028
CA
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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