Individual
MR. JUCEVI VIRTUDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1441 EASTLAKE AVE, LOS ANGELES, CA 90089-1019
(323) 865-3000
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20900
CA
363LF0000X
Family Nurse Practitioner
20900
CA
Other
Enumeration date
11/21/2011
Last updated
11/27/2023
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