Healthcare Provider Details

I. General information

NPI: 1396912937
Provider Name (Legal Business Name): ANN SCHLOSS RN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 05/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11301 WILSHIRE BLVD GREATER LOS ANGELES VA HOSPITAL
LOS ANGELES CA
90073-1003
US

IV. Provider business mailing address

10519 OAKLAWN RD
LOS ANGELES CA
90064-4418
US

V. Phone/Fax

Practice location:
  • Phone: 310-478-3711
  • Fax:
Mailing address:
  • Phone: 310-287-2735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number2690
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: