Individual
MRS. MONICA KEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
560 S ST LOUIS ST, LOS ANGELES, CA 90033-4320
(213) 480-1557
Mailing address
560 S ST LOUIS ST, LOS ANGELES, CA 90033-4320
(213) 480-1557
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083244016
—
CA
Enumeration date
01/17/2020
Last updated
09/12/2023
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