Individual
CYNTHIA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P, R.N.
Contact information
Practice address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 993-7500
(323) 308-4015
Mailing address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 993-7500
(323) 308-4015
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN530675
CA
363LF0000X
Family Nurse Practitioner
Primary
NP8998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP530675
STATE LICENSE ID #
CA
05
—
RN530675
—
CA
Enumeration date
07/18/2005
Last updated
04/03/2025
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