Individual
GINA SCRIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3404 COLVILLE PL, ENCINO, CA 91436-4140
(831) 247-8998
Mailing address
2103 KELTON AVE, LOS ANGELES, CA 90025-5705
(831) 247-8998
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95175499
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024001
CA
Other
Enumeration date
01/24/2021
Last updated
08/02/2023
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