Individual
LOVELY ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
2730 WILSHIRE BLVD STE 320, SANTA MONICA, CA 90403-4751
(310) 566-0858
Mailing address
2730 WILSHIRE BLVD STE 320, SANTA MONICA, CA 90403-4751
(310) 566-0858
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
16680
CA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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