Individual
FELIX NA AHMEDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1225 W 190TH ST STE 280, GARDENA, CA 90248-4305
(310) 515-8113
(310) 538-2102
Mailing address
14541 DELANO ST, VAN NUYS, CA 91411-2820
(818) 625-7630
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
700625
CA
Other
Enumeration date
12/03/2021
Last updated
04/17/2023
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