Organization
RONALD REGAN UCLA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA ISABEL PREZA-SCAVO NURSE PRACTITIONER (NURSE PRACTITIONER II)
(310) 267-9812
Entity
Organization
Contact information
Practice address
8603 JELLICO AVE, NORTHRIDGE, CA 91325-3103
(818) 445-4401
Mailing address
8603 JELLICO AVE, NORTHRIDGE, CA 91325-3103
(818) 445-4401
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
21427
CA
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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