Individual
JEFFREY HOSIK CHOWDHURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
23845 MCBEAN PKWY, VALENCIA, CA 91355-2083
(661) 200-2000
Mailing address
23127 CUERVO DR, SANTA CLARITA, CA 91354-2221
(661) 670-3768
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95103472
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95103472
BOARD OF REGISTERED NURSES
CA
Enumeration date
05/11/2020
Last updated
05/11/2020
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