Individual provider · Type 1 NPI
Maysa Chanchuan
Family Nurse Practitioner · Los Angeles, CA
NPI number
1568091619
Active
Practice location
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Mailing address
1847 Winona Blvd Apt 307
Los Angeles, CA 90027-3880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 780355 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | NP95013244 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1568091619
Maysa Chanchuan's National Provider Identifier is 1568091619, issued on Apr 1, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 1, 2020.