Individual
MARGO MINISSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP, APRN-BC, MSN,
Contact information
Practice address
444 S SAN VICENTE BLVD, SUITE 600, LOS ANGELES, CA 90048-4165
(310) 423-9977
(310) 423-9681
Mailing address
1174 DEL REY AVE, PASADENA, CA 91107-1811
(310) 384-0126
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
15841
CA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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