Individual
BEATRIZ VIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1100 GOTTSCHALK MEDICAL PLAZA DRIVE, IRVINE, CA 92697-0001
(949) 824-3250
(949) 824-3049
Mailing address
630 EUCLID AVE, LOS ANGELES, CA 90023-1516
(323) 646-4124
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95026736
CA
Other
Enumeration date
01/03/2025
Last updated
05/22/2025
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