Individual
KATHLEEN MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3245
Mailing address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3245
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP14735
CA
Other
Enumeration date
11/29/2006
Last updated
12/28/2012
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