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Individual

PEDRO E MORANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
6245 DELONGPRE AVE, 2ND FLOOR, LOS ANGELES, CA 90028
(888) 783-1883
(888) 653-3144
Mailing address
28802 GARNET CANYON DR, SANTA CLARITA, CA 91390-5263
(661) 888-0195

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95004061
CA
363LF0000X
Family Nurse Practitioner
95004061
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95004061
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
CA
Enumeration date
04/06/2016
Last updated
06/21/2023
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