Individual
JANETTE MAGTAHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
95004899
CA
363LG0600X
Gerontology Nurse Practitioner
95004899
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95004899
CA
363LP2300X
Primary Care Nurse Practitioner
95004899
CA
Other
Enumeration date
09/07/2016
Last updated
06/19/2020
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