Individual
JAMI VAN DER WIELEN ZELAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
673 HURON PL, CLAREMONT, CA 91711-2600
(909) 525-0039
Mailing address
3701 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90010-2814
(323) 361-3550
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
NP21469
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
21469
CA
Other
Enumeration date
03/14/2012
Last updated
08/16/2025
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