Healthcare Provider Details

I. General information

NPI: 1659577971
Provider Name (Legal Business Name): PROFESSIONAL NURSING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2007
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12501 CHANDLER BLVD STE 205
STUDIO CITY CA
91607-1938
US

IV. Provider business mailing address

12501 CHANDLER BLVD STE 205
STUDIO CITY CA
91607-1938
US

V. Phone/Fax

Practice location:
  • Phone: 818-955-5848
  • Fax: 818-475-5277
Mailing address:
  • Phone: 818-955-5848
  • Fax: 818-475-5277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number550000933
License Number StateCA

VIII. Authorized Official

Name: MRS. FLORENCE TSIRULSKY
Title or Position: CEO
Credential:
Phone: 818-955-5848