Individual
ANGELA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2700 S FIGUEROA ST, LOS ANGELES, CA 90007-3255
(213) 743-9050
(213) 747-7768
Mailing address
2700 S FIGUEROA ST, LOS ANGELES, CA 90007-3255
(213) 743-9050
(213) 747-7768
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
488134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0095860
MEDICAL GROUP NUMBER
CA
Enumeration date
02/08/2007
Last updated
07/08/2007
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