Individual
LARA CAMILLE SIMAN DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-2716
(310) 825-9111
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
796719
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95007024
CA
Other
Enumeration date
10/09/2017
Last updated
08/18/2021
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