Individual
EUN HYEO HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(310) 319-4000
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95015146
CA
363LA2100X
Acute Care Nurse Practitioner
95015146
CA
Other
Enumeration date
08/03/2020
Last updated
10/02/2024
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