Organization
LOS ANGELES UNIFIED SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA VILLANUEVA NP (LEAD NURSE PRACTITIONER)
(213) 202-7533
Entity
Organization
Contact information
Practice address
121 N BEAUDRY AVE, LOS ANGELES, CA 90012-2009
(213) 202-7533
(213) 580-6557
Mailing address
121 N BEAUDRY AVE, LOS ANGELES, CA 90012-2009
(213) 202-7533
(213) 580-6557
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
23764
CA
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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