Individual provider · Type 1 NPI
Maurice Albanes-Wagner
Psychiatric/Mental Health Registered Nurse · Culver City, CA
NPI number
1174877161
Active
Practice location
9808 Venice Blvd, Suite 700
Culver City, CA 90232-2732
Fax (310) 840-7023
Mailing address
1260 Morena Blvd Ste 100
San Diego, CA 92110-3850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 799937 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1174877161
Maurice Albanes-Wagner's National Provider Identifier is 1174877161, issued on Oct 30, 2012. 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 Feb 7, 2018.