Healthcare Provider Details

I. General information

NPI: 1790576015
Provider Name (Legal Business Name): GABRIELLA MARIN LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 W MANCHESTER BLVD STE 104
INGLEWOOD CA
90301-1683
US

IV. Provider business mailing address

614 W MANCHESTER BLVD STE 104
INGLEWOOD CA
90301-1683
US

V. Phone/Fax

Practice location:
  • Phone: 310-412-0879
  • Fax:
Mailing address:
  • Phone: 310-412-0879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number750567
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: