Individual
JUDY M. KOEMPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5900 W OLYMPIC BLVD, LOS ANGELES, CA 90036
(310) 657-5900
(323) 932-5376
Mailing address
1520 SAN PABLO ST, SUITE 3451, LOS ANGELES, CA 90033-5310
(323) 442-7400
(323) 442-7411
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3050
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA0030500
BLUE SHIELD
CA
05
—
RN0030500
—
CA
01
—
RN0030500328
CALOPTIMA
CA
Enumeration date
06/14/2006
Last updated
08/28/2018
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