Individual
ANGELINA LAROCO LEIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
MOBILE MEDICAL & NURSING, INC., 4161 WEST KLING STREET, # 16, BURBANK, CA 91505
(818) 843-5225
(818) 843-5224
Mailing address
1548 NOEL CIR, SIMI VALLEY, CA 93065-3752
(805) 583-5616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP15295
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP15295
NP LICENSE
CA
Enumeration date
08/23/2006
Last updated
07/08/2007
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