MA GLENDA JATULAN RAVAS NP NPI 1770123663

NPI Information

NPI: 1770123663
Provider Name: MA GLENDA JATULAN RAVAS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1680 E 120TH ST
LOS ANGELES, CA
ZIP 90059
Phone: (424) 338-8367
Get Directions

Ma Glenda Jatulan Ravas, NP is a family nurse practitioner in Los Angeles, CA. Ma Glenda Jatulan Ravas, NP NPI is 1770123663. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1680 E 120TH ST
LOS ANGELES, CA
ZIP 90059-026
Phone: (424) 338-8367

The enumeration date for this NPI number is 1/9/2020 and was last updated on 1/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95013651	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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