Individual provider · Type 1 NPI

Stephanie Dominguez De Vera

Registered Nurse · Los Angeles, CA

NPI number 1891648754 Active

Practice location

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Call (310) 478-3711 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X95340189 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1891648754

Stephanie Dominguez De Vera's National Provider Identifier is 1891648754, issued on Feb 19, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 19, 2026.