Individual
MS. PEGGY PUNNOOSE KALATHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 690, LOS ANGELES, CA 90024-7000
(310) 206-2235
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
12741
CA
363LA2100X
Acute Care Nurse Practitioner
539691
CA
Other
Enumeration date
05/23/2008
Last updated
12/01/2023
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