Individual
POOJA VIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(323) 265-5000
Mailing address
717 LINCOLN AVE, DIAMOND BAR, CA 91789-3306
(909) 762-8511
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95092221
CA
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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