Individual
PAVEL KSENDZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
21700 GOLDEN TRIANGLE RD STE 104A, SANTA CLARITA, CA 91350-2616
(310) 849-4541
Mailing address
21700 GOLDEN TRIANGLE RD STE 104A, SANTA CLARITA, CA 91350-2616
(310) 849-4541
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95021622
CA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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