Individual
SHELLY SACHDEVA DE PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP, CS
Contact information
Practice address
11301 WILSHIRE BLVD, (111E), LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4288
Mailing address
22965 OXNARD ST, WOODLAND HILLS, CA 91367-3230
(818) 716-6675
(818) 716-6675
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
500358
CA
Other
Enumeration date
06/12/2006
Last updated
07/12/2007
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