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Kasiani Gountoumas
Family Nurse Practitioner in Santa Monica, California
NPI 1194180646

Kasiani Gountoumas is a Family Nurse Practitioner based in Los Angeles, CA and is specialized in Family. Kasiani Gountoumas practices in Santa Monica, CA. The NPI Number for Kasiani Gountoumas is 1194180646 and holds a License No. 15137 (California).

The current practice location address for Kasiani Gountoumas is 1900 Pico Blvd, Santa Monica, CA and can be reached out via phone at 310-434-4262.

Location: 1900 Pico Blvd, Santa Monica, CA, 90069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194180646
Provider Name
Kasiani Gountoumas
Credential
Provider Entity Type
Individual
Gender
Female
Address
1900 Pico Blvd, Santa Monica, CA, 90069
Phone Number
310-434-4262
Fax Number
Provider Enumeration Date
12/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1900 Pico Blvd
City
Santa Monica
State
California
Zip
90405-1628
Phone Number
310-434-4262
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Pico Blvd
City
Santa Monica
State
California
Zip
90405-1628
Phone Number
310-434-4262
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
15137 (California)
Definition
Definition to come...
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