Individual
EVA LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
502 TORRANCE BLVD, REDONDO BEACH, CA 90277
(310) 316-0811
Mailing address
502 TORRANCE BLVD, REDONDO BEACH, CA 90277-3498
(310) 316-0811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95005839
CA
Other
Enumeration date
01/24/2017
Last updated
11/29/2018
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