Individual provider · Type 1 NPI

Dyane Gatmaitan

Gerontology Nurse Practitioner · Los Angeles, CA

NPI number 1104229178 Active

Practice location

127 S San Vicente Blvd # A-6600
Los Angeles, CA 90048-3311

Call (310) 423-6472 Map

Fax (310) 423-8839

Mailing address

4140 W 190th St
Torrance, CA 90504-5513

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X95001144 (CA)
Gerontology Nurse Practitioner Primary 363LG0600X95001144 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1104229178

Dyane Gatmaitan's National Provider Identifier is 1104229178, issued on Oct 3, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 29, 2023.