Individual
ELIZA ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14031 CHAMBERLAIN ST, SAN FERNANDO, CA 91340-3801
(818) 407-3100
Mailing address
14031 CHAMBERLAIN ST, SAN FERNANDO, CA 91340-3801
(818) 407-3100
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
235272
CA
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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