Individual provider · Type 1 NPI
Jan Matthew Ravina Angeles, NP
Nurse Practitioner · Van Nuys, CA
Practice location
6815 Noble Ave
Van Nuys, CA 91405-3796
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95025746 (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 1942989801
Jan Matthew Ravina Angeles, NP's National Provider Identifier is 1942989801, issued on Jul 17, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Van Nuys, CA. The record was last updated on Sep 2, 2025.