Individual
MR. ADILSON KIEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
15720 VENTURA BLVD STE 528, ENCINO, CA 91436-2936
(818) 736-8642
(310) 424-5009
Mailing address
16530 VENTURA BLVD STE 625, ENCINO, CA 91436-5009
(310) 594-7021
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95023732
CA
Other
Enumeration date
01/02/2023
Last updated
05/06/2025
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