Individual
CARLA ANDREA LABORTE BUENAVENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(310) 825-9111
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
765018
CA
363L00000X
Nurse Practitioner
Primary
95095140
CA
363LA2200X
Adult Health Nurse Practitioner
95095140
CA
363LG0600X
Gerontology Nurse Practitioner
95095140
CA
363LP2300X
Primary Care Nurse Practitioner
95095140
CA
Other
Enumeration date
04/20/2021
Last updated
02/16/2022
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