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Individual

CARLOS AMADOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
2500 WILSHIRE BLVD, S, LOS ANGELES, CA 90057-4303
(231) 639-2500
(213) 365-2813
Mailing address
2500 WHITTIER BLVD, SUITE 3025, LOS ANGELES, CA 90023-1307
(231) 639-2500
(213) 365-2813

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN216407
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VN216407
LVN
CA
Enumeration date
02/12/2007
Last updated
02/25/2014
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