Individual
EZAKAR BIGILINKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 S VERMONT AVE FL 21, LOS ANGELES, CA 90020-1992
(909) 528-8162
Mailing address
29588 CREST VIEW LN, HIGHLAND, CA 92346-7712
(909) 528-8162
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
809561
CA
Other
Enumeration date
12/04/2015
Last updated
05/17/2022
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