Individual
MISS ANN KEIKO JOHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, RN, FNP-BC, FNP-
Contact information
Practice address
3756 SANTA ROSALIA DR, SUITE 506, LOS ANGELES, CA 90008-3606
(323) 617-5409
(323) 544-6722
Mailing address
3756 SANTA ROSALIA DR, SUITE 506, LOS ANGELES, CA 90008-3606
(323) 617-5409
(323) 544-6722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
270013
CA
163WC1500X
Community Health Registered Nurse
39468
CA
363LF0000X
Family Nurse Practitioner
Primary
4581
CA
363LP2300X
Primary Care Nurse Practitioner
4581
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00NP45810
—
CA
Enumeration date
02/28/2007
Last updated
07/05/2016
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