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NPI Code Detail

MEDICARE: ANN C. KEREN-ZVI

MEDICARE: ANN C. KEREN-ZVI
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
1363L00000XNurse Practitioner10397CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110397OTHERCANURSE PRACTITIONER CERT.
2WNP10397AOTHERCAPPIN (EV)
3WNP10397BOTHERCAPPIN (GV)
4227060OTHERCAREGISTERED NURSE LICENSE

General Provider Information

NPI Number : 1902979552
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN C. KEREN-ZVI
Provider Business Mailing Address
First Line : 6115 LINDENHURST AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-4808
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7150 TAMPA AVE
Second Line :
City : RESEDA
State : CA
Zip : 91335-3700
Country : US
Telephone Number : 818-774-3354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 03/07/2023

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