Individual
IVANA GAONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
453 S INDIANA ST, LOS ANGELES, CA 90063-3908
(323) 266-7725
Mailing address
453 S INDIANA ST, LOS ANGELES, CA 90063-3908
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN746501
CA
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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