Individual provider · Type 1 NPI

Roy Villena Tatlonghari, RN-CANP

Adult Health Nurse Practitioner · Los Angeles, CA

NPI number 1053636720 Active

Practice location

4650 Sunset Blvd, Ms 125
Los Angeles, CA 90027

Call (323) 361-2533 Map

Fax (323) 361-8095

Mailing address

P.o. Box 27980, Childrens Hospital Los Angeles, Ms 125
Los Angeles, CA 90027-0980

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XLIC#604372 (CA)
Occupational Health Nurse Practitioner 363LX0106XLIC#604372 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1053636720

Roy Villena Tatlonghari, RN-CANP's National Provider Identifier is 1053636720, issued on Apr 6, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 6, 2010.