Individual
CHEYENNE BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1891 EFFIE ST, LOS ANGELES, CA 90026-1793
(323) 644-2000
Mailing address
1891 EFFIE ST, LOS ANGELES, CA 90026-1793
(323) 644-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95351539
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
02/10/2026
Last updated
02/16/2026
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