Individual
ELIAZAR HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
1824 S OGDEN DR, LOS ANGELES, CA 90019-5037
(323) 924-5554
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
Primary
557492
CA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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