Healthcare Provider Details

I. General information

NPI: 1568309581
Provider Name (Legal Business Name): GUADALUPE MURILLO LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5015 WHITTIER BLVD
LOS ANGELES CA
90022-3116
US

IV. Provider business mailing address

5015 WHITTIER BLVD
LOS ANGELES CA
90022-3116
US

V. Phone/Fax

Practice location:
  • Phone: 323-268-9191
  • Fax: 323-981-2935
Mailing address:
  • Phone: 323-268-9191
  • Fax: 323-981-2935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number721036
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: