Individual
IRIS MAYORAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 S SAN VICENTE BLVD STE A6100, LOS ANGELES, CA 90048-3311
(310) 423-2077
(310) 248-8252
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-2077
(310) 248-8252
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95031195
CA
Other
Enumeration date
07/19/2024
Last updated
02/27/2025
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