Individual
MR. EDWARD BURGOS NINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1937
(310) 913-4310
Mailing address
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1937
(310) 913-4310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP #14333
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP14333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WNP14333A
PPIN
CA
Enumeration date
11/24/2006
Last updated
03/04/2025
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