Individual
ADRIANA MATEOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1776 E CENTURY BLVD, LOS ANGELES, CA 90002-3050
(323) 374-6848
Mailing address
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3625
(310) 639-0415
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
839982
CA
171M00000X
Case Manager/Care Coordinator
839982
CA
Other
Enumeration date
01/08/2014
Last updated
05/31/2023
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