Individual
BIVA NARSING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-7419
(310) 267-9124
Mailing address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A159989
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
06/29/2020
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