Healthcare Provider Details

I. General information

NPI: 1174330013
Provider Name (Legal Business Name): LEA NARTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2024
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3609 OCEAN RANCH BLVD STE 104
OCEANSIDE CA
92056-8601
US

IV. Provider business mailing address

3609 OCEAN RANCH BLVD STE 104
OCEANSIDE CA
92056-8601
US

V. Phone/Fax

Practice location:
  • Phone: 858-694-3900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95390658
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: