Individual
DIVYA JENISH TILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11652 FACULTY DR, NORWALK, CA 90650-7020
(562) 485-8676
Mailing address
11652 FACULTY DR, NORWALK, CA 90650-7020
(562) 274-7221
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95021830
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95021830
CA
Other
Enumeration date
08/29/2022
Last updated
12/01/2023
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