Individual
MEENA KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(310) 738-5925
Mailing address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(310) 738-5925
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
95175221
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95029842
CA
Other
Enumeration date
10/16/2019
Last updated
06/21/2024
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