Healthcare Provider Details

I. General information

NPI: 1134819188
Provider Name (Legal Business Name): ALMIRA BRIONES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2023
Last Update Date: 05/12/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15625 LAKEWOOD BLVD
PARAMOUNT CA
90723-4633
US

IV. Provider business mailing address

15625 LAKEWOOD BLVD
PARAMOUNT CA
90723-4633
US

V. Phone/Fax

Practice location:
  • Phone: 800-424-6589
  • Fax:
Mailing address:
  • Phone: 800-424-6589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95022584
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WN0300X
TaxonomyNephrology Registered Nurse
License Number809087
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: