Individual provider · Type 1 NPI
Lara Camille Siman De Leon, NP
Acute Care Nurse Practitioner · Los Angeles, CA
NPI number
1104336833
Active
Practice location
757 Westwood Plz
Los Angeles, CA 90095-2716
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice locations
- 2120 Las Colinas Ave, Los Angeles, CA 90041-2716 · (323) 304-4867
- 200 Ucla Medical Plz Ste 214, Los Angeles, CA 90095-2716 · (310) 794-7788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 796719 (CA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95007024 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1104336833
Lara Camille Siman De Leon, NP's National Provider Identifier is 1104336833, issued on Oct 9, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 18, 2021.