Individual
MISS LISA XIAOLI NEVILLE QUINCAMPOIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1745 S HAYWORTH AVE, LOS ANGELES, CA 90035-4640
(424) 324-0774
Mailing address
1745 S HAYWORTH AVE, LOS ANGELES, CA 90035-4640
(424) 324-0774
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
11/17/2025
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