Individual
LEVI G. BARAHONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1845 N FAIR OAKS AVE, ANDREW ESCAJEDA CLINIC G-151, PASADENA, CA 91103-1620
(626) 744-6140
(626) 744-6148
Mailing address
4547 WILLOW BROOK AVE APT 4, LOS ANGELES, CA 90029-2743
(818) 669-7282
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
248661
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248661
LICENSED VOCATIONAL NURSE
CA
Enumeration date
06/04/2012
Last updated
06/04/2012
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