Individual
MR. JORGE DANIEL HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
1680 E 120TH ST, LOS ANGELES, CA 90059-3026
(310) 748-9532
Mailing address
35 TEASDALE ST, THOUSAND OAKS, CA 91360-3150
(310) 748-9532
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95018008
CA
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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