Individual
KEIKO LILLY MIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC
Contact information
Practice address
11500 NIMITZ AVE, LOS ANGELES, CA 90049-3566
(424) 832-8368
(424) 832-8270
Mailing address
11500 NIMITZ AVE, LOS ANGELES, CA 90049-3566
(424) 832-8368
(424) 832-8270
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
14487
CA
Other
Enumeration date
06/13/2006
Last updated
05/21/2013
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