Individual
SHARA AMZALLAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
516 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
(818) 479-8085
Mailing address
5412 LINDLEY AVE UNIT 303, ENCINO, CA 91316-1980
(818) 398-1964
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032825
CA
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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