Organization · Type 2 NPI

Republic Medical Clinic PC

Nurse Practitioner · Los Angeles, CA

NPI number 1861361537 Active

Practice location

6122 Whittier Blvd
Los Angeles, CA 90022-4504

Fax (323) 490-7272

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

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…

2 other providers at this address

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About NPI 1861361537

Republic Medical Clinic PC's National Provider Identifier is 1861361537, issued on Nov 1, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 1, 2025.