Individual provider · Type 1 NPI
Ivan Quezada
Psychiatric/Mental Health Registered Nurse · Culver City, CA
NPI number
1134536949
Active
Practice location
9808 Venice Blvd, Suite 700
Culver City, CA 90232-2732
Fax (310) 945-3356
Other practice locations
- 100 W Walnut St Ste 375, Pasadena, CA 91124-2732 · (626) 395-7100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 834506 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1134536949
Ivan Quezada's National Provider Identifier is 1134536949, issued on Jul 14, 2014. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Culver City, CA. The record was last updated on Dec 19, 2022.