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VICTOR COVARRUBIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
21550 OXNARD ST FL 3, WOODLAND HILLS, CA 91367-7105
(818) 913-0090
(747) 888-5865
Mailing address
21550 OXNARD ST, WOODLAND HILLS, CA 91367-7100
(818) 850-3250

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
95147346
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024768
CA

Other

Enumeration date
07/23/2019
Last updated
10/10/2024
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