Individual provider · Type 1 NPI

Kismet Krystel Vine Cordova

Licensed Vocational Nurse · Los Angeles, CA

NPI number 1134487226 Active

Practice location

605 W Olympic Blvd
Los Angeles, CA 90015-1400

Fax (213) 489-7993

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	258247 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1134487226

Kismet Krystel Vine Cordova's National Provider Identifier is 1134487226, issued on Apr 26, 2012. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 26, 2012.