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Mrs. Leslie Chang Evertson, NP
Gerontology Nurse Practitioner in Santa Monica, California
NPI 1235141078

Leslie Chang Evertson is a Gerontology Nurse Practitioner based in Simi Valley, CA and is specialized in Gerontology. Leslie Chang Evertson practices in Santa Monica, CA and has the professional credentials of NP. The NPI Number for Leslie Chang Evertson is 1235141078 and holds a License No. 16341 (California).

The current practice location address for Leslie Chang Evertson is 1245 16Th St, Santa Monica, CA and can be reached out via phone at 310-825-8253 and via fax at 310-319-4141.

Location: 1245 16Th St, Santa Monica, CA, 93063-2223
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Provider Profile Details
NPI Number
1235141078
Provider Name
Leslie Chang Evertson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1245 16Th St, Santa Monica, CA, 93063-2223
Phone Number
310-825-8253
Fax Number
310-319-4141
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235141078 05 CA
institution
Provider Business Practice Location Address Details
Address
1245 16Th St
City
State
Zip
90404-1235
Phone Number
310-825-8253
Fax Number
310-319-4141
person
Provider Business Mailing Address Details
Address
1245 16Th St
City
State
Zip
90404-1235
Phone Number
310-825-8253
Fax Number
310-319-4141
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
16341 (California)
Definition
Definition to come...
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