Healthcare Provider Details

I. General information

NPI: 1477217909
Provider Name (Legal Business Name): STEPHANIE RIGOR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2021
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 WESTWOOD PLZ
LOS ANGELES CA
90095-4103
US

IV. Provider business mailing address

221 WESTWOOD PLZ
LOS ANGELES CA
90095-4103
US

V. Phone/Fax

Practice location:
  • Phone: 310-825-4073
  • Fax: 310-983-1172
Mailing address:
  • Phone: 310-825-4073
  • Fax: 310-983-1172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95018672
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: