Individual
LEORA SHACHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8720 BEVERLY BLVD, LOS ANGELES, CA 90048
(310) 423-0207
Mailing address
1600 S WESTGATE AVE APT 304, LOS ANGELES, CA 90025-5997
(510) 593-6906
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95021711
CA
Other
Enumeration date
08/10/2022
Last updated
08/11/2022
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