Healthcare Provider Details

I. General information

NPI: 1154133833
Provider Name (Legal Business Name): JOSEPHINE NVULE NALUMANSI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2025
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5419 W SUNSET BLVD
LOS ANGELES CA
90027-5613
US

IV. Provider business mailing address

8640 PETIT AVE APT 133
NORTHRIDGE CA
91343-4654
US

V. Phone/Fax

Practice location:
  • Phone: 323-769-6100
  • Fax:
Mailing address:
  • Phone: 818-633-6713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95165713
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95025439
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: