Individual provider · Type 1 NPI
Allen Pouravanes
Psychiatric/Mental Health Registered Nurse · Los Angeles, CA
NPI number
1720378946
Active
Practice location
529 Maple Ave
Los Angeles, CA 90013-1511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 587382 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1720378946
Allen Pouravanes's National Provider Identifier is 1720378946, issued on Apr 8, 2011. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 8, 2011.