Individual
LISA M BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
11733 VALLEYCREST RD, STUDIO CITY, CA 91604-4227
(323) 574-4702
Mailing address
11733 VALLEYCREST RD, STUDIO CITY, CA 91604-4227
(323) 574-4702
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95035863
CA
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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