Individual
LAYLA S REZAEEPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/NP
Contact information
Practice address
26732 CROWN VALLEY PKWY STE 541, MISSION VIEJO, CA 92691-6376
(215) 720-6013
Mailing address
26732 CROWN VALLEY PKWY STE 541, MISSION VIEJO, CA 92691-6376
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95061330
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95017669
CA
Other
Enumeration date
07/27/2021
Last updated
10/28/2021
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