Individual
VINCENT DIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-4226
(626) 817-3339
Mailing address
608 W DUELL ST UNIT B, AZUSA, CA 91702-4367
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95033547
CA
Other
Enumeration date
01/13/2025
Last updated
01/14/2025
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