Nursing Yellow Pages

Nurses, Nursing Specialists, Nurse Practitioners
Physician Assistants, Nursing Homes and Facilities

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MR. ROY VILLENA TATLONGHARI RN-CANP

Nursing Yellow Pages

Los Angeles, California

Provider NPI: 1053636720

Provider Information:
MR. ROY VILLENA TATLONGHARI RN-CANP


Practice Location:
4650 SUNSET BLVD MS 125 LOS ANGELES, CA 90027 US
Tel: 323-361-2533  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
CALIC#604372
N363LX0106XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CALIC#604372

Other Provider Identifiers:

IssuerNumberStateType
FURNISHING LICENSE15203CA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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