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Larry Edward Natividad
Ambulatory Care Registered Nurse in Los Angeles, California
NPI 1093237240

Larry Edward Natividad is an Ambulatory Care Registered Nurse based in Los Angeles, CA and is specialized in Ambulatory Care. Larry Edward Natividad practices in Los Angeles, CA. The NPI Number for Larry Edward Natividad is 1093237240 and holds a License No. 533239 (California).

The current practice location address for Larry Edward Natividad is 245 S Fetterly Ave, Los Angeles, CA and can be reached out via phone at 323-362-1079.

Location: 245 S Fetterly Ave, Los Angeles, CA, 90022-1605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093237240
Provider Name
Larry Edward Natividad
Credential
Provider Entity Type
Individual
Gender
Male
Address
245 S Fetterly Ave, Los Angeles, CA, 90022-1605
Phone Number
323-362-1079
Fax Number
Provider Enumeration Date
07/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
245 S Fetterly Ave
City
Los Angeles
State
California
Zip
90022-1605
Phone Number
323-362-1079
Fax Number
person
Provider Business Mailing Address Details
Address
245 S Fetterly Ave
City
Los Angeles
State
California
Zip
90022-1605
Phone Number
323-362-1079
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Ambulatory Care
Taxonomy
163WP2201X
License No.
533239 (California)
Definition
Definition to come...
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