Individual provider · Type 1 NPI
Betty Leong Tabora, RN
Psychiatric/Mental Health Registered Nurse · Granada Hills, CA
NPI number
1356468524
Active
Practice location
10605 Balboa Blvd, Suite 100
Granada Hills, CA 91344-6342
Mailing address
2379 Nalin Dr
Los Angeles, CA 90077-1806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 289596 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1356468524
Betty Leong Tabora, RN's National Provider Identifier is 1356468524, issued on Mar 23, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Granada Hills, CA. The record was last updated on Jul 8, 2007.