Individual
MR. RICARDO IVAN ALATRISTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN RN
Contact information
Practice address
2450 S SHENANDOAH ST, LOS ANGELES, CA 90034-2026
(747) 254-0515
Mailing address
15701 SHERMAN WAY UNIT 7554, VAN NUYS, CA 91409-8638
(818) 309-3939
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
041459379
IL
163WS0200X
School Registered Nurse
Primary
95149758
CA
163WS0200X
School Registered Nurse
RN72054
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90042082E
—
CA
Enumeration date
12/11/2018
Last updated
12/11/2018
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