Individual provider · Type 1 NPI

Lisa Deangelis

Psychiatric/Mental Health Registered Nurse · Culver City, CA

NPI number 1134547508 Active

Practice location

9808 Venice Blvd, Suite 700
Culver City, CA 90232-2732

Fax (310) 945-3356

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Registered Nurse Primary	163WP0808X	819575 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1134547508

Lisa Deangelis's National Provider Identifier is 1134547508, issued on Apr 2, 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 Apr 2, 2014.