Individual provider · Type 1 NPI

Kenn Rafanan

Family Nurse Practitioner · El Segundo, CA

NPI number 1003332909 Active

Practice location

2101 Rosecrans Ave # 3230
El Segundo, CA 90245-4749

Mailing address

1723 Bonanza Ave
Simi Valley, CA 93063-5803

Other practice locations

  • 1723 Bonanza Ave, Simi Valley, CA 93063 · (818) 730-2452

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95006905 (CA)

Family Nurse Practitioner: Definition to come...

18 other providers at this address

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About NPI 1003332909

Kenn Rafanan's National Provider Identifier is 1003332909, issued on Aug 22, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in El Segundo, CA. The record was last updated on Oct 24, 2019.