Individual
MR. ALAN RUSSELL BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
8700 BEVERLY BLVD # SB290, WEST HOLLYWOOD, CA 90048-1804
(310) 423-1447
(310) 423-0387
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-1447
(310) 423-0387
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
VN207770
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001601
CA
Other
Enumeration date
01/20/2009
Last updated
09/28/2021
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