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Individual

GINA SANTANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
647443
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
20239
CA
364SP0200X
Pediatric Clinical Nurse Specialist
3534
CA

Other

Enumeration date
08/01/2012
Last updated
04/14/2014
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