Individual
MS. EDERLINA PECSON LANDETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, FNP
Contact information
Practice address
18111 NORDHOFF ST, NORTHRIDGE, CA 91330-8270
(818) 677-3666
(818) 677-6750
Mailing address
5917 ALONZO AVE, ENCINO, CA 91316-1004
(818) 345-4263
(818) 677-6750
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN343438
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0094830
MEDI-CAL /FPACT
CA
Enumeration date
07/26/2006
Last updated
07/08/2007
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