Individual
LISSETTE ULLOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3011 N NORTH COOLIDGE AVE, LOS ANGELES, CA 90039-3413
(323) 855-0928
Mailing address
3011 N NORTH COOLIDGE AVE, LOS ANGELES, CA 90039-3413
(323) 855-0928
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95037841
CA
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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