Individual
MR. JAVIER TISCARENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
221 WESTWOOD PLZ, LOS ANGELES, CA 90095-1703
(310) 794-7897
(310) 206-1996
Mailing address
221 WESTWOOD PLZ, LOS ANGELES, CA 90095-1703
(310) 794-7897
(310) 206-1996
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN504249
CA
Other
Enumeration date
03/28/2007
Last updated
12/20/2024
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