Individual
ALICIA GUSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
711 W FLORENCE AVE, LOS ANGELES, CA 90044-6105
(323) 789-5610
Mailing address
8700 PERSHING DR UNIT 3211, PLAYA DEL REY, CA 90293-8010
(802) 793-0952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95026145
CA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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