Individual provider · Type 1 NPI

Liat Raquel Tubul, FNP, RN

Nurse Practitioner · Woodland Hills, CA

NPI number 1306775689 Active

Practice location

20700 Ventura Blvd Ste 100
Woodland Hills, CA 91364-6268

Mailing address

29028 Old Carriage Ct
Agoura Hills, CA 91301-1622

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95033478 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1306775689

Liat Raquel Tubul, FNP, RN's National Provider Identifier is 1306775689, issued on May 14, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Woodland Hills, CA. The record was last updated on May 14, 2026.