Individual
NATALIA HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14860 ROSCOE BLVD, PANORAMA CITY, CA 91402-4665
(818) 904-3132
Mailing address
14860 ROSCOE BLVD, PANORAMA CITY, CA 91402-4665
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
PTL12496
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2023
Last updated
10/24/2025
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