Individual
MS. BIANCA B LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1262 W 87TH ST, LOS ANGELES, CA 90044-2112
(818) 300-5167
Mailing address
1262 W 87TH ST, LOS ANGELES, CA 90044-2112
(818) 300-5167
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
NV
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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