Healthcare Provider Details

I. General information

NPI: 1700203361
Provider Name (Legal Business Name): PIA FERRARO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2014
Last Update Date: 09/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4432 COLDWATER CANYON AVE APT 102
STUDIO CITY CA
91604-5012
US

IV. Provider business mailing address

4432 COLDWATER CANYON AVE APT 102
STUDIO CITY CA
91604-5012
US

V. Phone/Fax

Practice location:
  • Phone: 310-561-7950
  • Fax:
Mailing address:
  • Phone: 310-561-7950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95000557
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95000557
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: