Individual
LIDA WACHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5120 W GOLDLEAF CIRCLE, SUITE 250, LOS ANGELES, CA 90056-1278
(323) 446-4493
(323) 544-4987
Mailing address
5120 W GOLDLEAF CIR, 250, LOS ANGELES, CA 90056-1278
(323) 446-4493
(323) 544-4987
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
319612, NP 19398
CA
Other
Enumeration date
10/08/2012
Last updated
05/20/2016
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