Individual
DYANE GATMAITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 S SAN VICENTE BLVD # A-6600, LOS ANGELES, CA 90048-3311
(310) 423-6472
(310) 423-8839
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-6472
(310) 423-8839
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95001144
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95001144
CA
Other
Enumeration date
10/03/2014
Last updated
06/29/2023
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