Individual
TRACY LEE PIERSANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095-8358
(310) 825-0867
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
23338
CA
363LF0000X
Family Nurse Practitioner
23338
CA
Other
Enumeration date
07/26/2013
Last updated
03/20/2025
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