Individual
SANJU NEUPANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 233-0425
Mailing address
15320 JASMINE LN, 103, GARDENA, CA 90249-4681
(585) 905-1055
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2015011566
CA
Other
Enumeration date
10/24/2016
Last updated
08/20/2020
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