Individual
HEATHER MARIE VANDONGEN-TRIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-4257
(310) 825-6301
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95014634
CA
363LP0222X
Critical Care Pediatric Nurse Practitioner
95014634
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649715236
—
WI
Enumeration date
01/05/2017
Last updated
06/14/2023
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