Individual
MS. LETICIA REBECCA HEAL HOPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1535 S WESTERN AVE, SUITE G, LOS ANGELES, CA 90006-4200
(323) 733-1885
(323) 733-1875
Mailing address
1815 GOODMAN AVE, REDONDO BEACH, CA 90278-2722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
349769
CA
363L00000X
Nurse Practitioner
Primary
10190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP10190
NURSE PRACTITIONER CERTIF
CA
01
—
RN 349769
REGISTERED NURSE LIC
CA
05
—
RN349769
—
CA
Enumeration date
07/12/2007
Last updated
03/16/2012
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