person
Keiko Lilly Mimura, MSN,APRN,BC
Gerontology Nurse Practitioner in Los Angeles, California
NPI 1932142544

Keiko Lilly Mimura is a Gerontology Nurse Practitioner based in Los Angeles, CA and is specialized in Gerontology. Keiko Lilly Mimura practices in Los Angeles, CA and has the professional credentials of MSN,APRN,BC. The NPI Number for Keiko Lilly Mimura is 1932142544 and holds a License No. 14487 (California).

The current practice location address for Keiko Lilly Mimura is 11500 Nimitz Ave, Los Angeles, CA and can be reached out via phone at 424-832-8368 and via fax at 424-832-8270.

Location: 11500 Nimitz Ave, Los Angeles, CA, 90049-3566
person
Provider Profile Details
NPI Number
1932142544
Provider Name
Keiko Lilly Mimura
Credential
MSN,APRN,BC
Provider Entity Type
Individual
Gender
Female
Address
11500 Nimitz Ave, Los Angeles, CA, 90049-3566
Phone Number
424-832-8368
Fax Number
424-832-8270
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11500 Nimitz Ave
City
State
Zip
90049-3566
Phone Number
424-832-8368
Fax Number
424-832-8270
person
Provider Business Mailing Address Details
Address
11500 Nimitz Ave
City
State
Zip
90049-3566
Phone Number
424-832-8368
Fax Number
424-832-8270
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
14487 (California)
Definition
Definition to come...
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