Individual
ISABELLA JOY MORTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, CPNP-PC
Contact information
Practice address
4455 W 117TH ST STE 200, HAWTHORNE, CA 90250-2240
(310) 219-2000
Mailing address
4121 1/2 IDAHO ST, SAN DIEGO, CA 92104-1805
(805) 550-7953
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95030758
CA
Other
Enumeration date
07/01/2024
Last updated
08/27/2024
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