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NPI Code Detail

MEDICARE: MS. ANNE P TRAYNOR NP

MEDICARE: MS. ANNE P TRAYNOR NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner422306CA

General Provider Information

NPI Number : 1457565798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNE P TRAYNOR NP
Provider Business Mailing Address
First Line : 2201 PARK DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-1921
Country : US
Telephone Number : 323-854-0750
Fax Number : 310-423-9595
Provider Business Practice Location Address
First Line : 6500 WILSHIRE BLVD
Second Line : SUITE 1000
City : LOS ANGELES
State : CA
Zip : 90048-4920
Country : US
Telephone Number : 310-423-9540
Fax Number : 310-423-9595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 07/08/2007

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