Individual provider · Type 1 NPI

Elvin Luccon, FNP

Nurse Practitioner · Los Angeles, CA

NPI number 1699425785 Active

Practice location

910 Vine St
Los Angeles, CA 90038-2702

Call (323) 461-3106 Map

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	95016465 (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 1699425785

Elvin Luccon, FNP's National Provider Identifier is 1699425785, issued on Mar 24, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 12, 2022.