Healthcare Provider Details

I. General information

NPI: 1497157796
Provider Name (Legal Business Name): COMPANION NURSING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2014
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 WILSHIRE BLVD STE 410-L70
LOS ANGELES CA
90017-3209
US

IV. Provider business mailing address

626 WILSHIRE BLVD STE 410-L70
LOS ANGELES CA
90017-3209
US

V. Phone/Fax

Practice location:
  • Phone: 310-742-5597
  • Fax: 310-742-5594
Mailing address:
  • Phone: 310-742-5597
  • Fax: 310-742-5594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PAMELA NOSHADEYAN
Title or Position: OWNER
Credential:
Phone: 310-742-5597