Healthcare Provider Details

I. General information

NPI: 1801096722
Provider Name (Legal Business Name): FELICIA M COJOCNEAN N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: FELICIA CHIS

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11525 BROOKSHIRE AVE STE 301 ATTENTION: MAGGIE NOLES
DOWNEY CA
90241-4982
US

IV. Provider business mailing address

PO BOX 51238 ATTTENTION: MAGGIE NOLES
LOS ANGELES CA
90051-5538
US

V. Phone/Fax

Practice location:
  • Phone: 562-862-3684
  • Fax: 562-862-7145
Mailing address:
  • Phone: 562-741-4461
  • Fax: 562-741-4413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN 559490
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP 17302
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number17302
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: