Healthcare Provider Details

I. General information

NPI: 1740119973
Provider Name (Legal Business Name): KARLA Y COBIAN PRECIADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14624 SHERMAN WAY STE 406
VAN NUYS CA
91405-2288
US

IV. Provider business mailing address

5710 SATURN ST
LOS ANGELES CA
90019-3735
US

V. Phone/Fax

Practice location:
  • Phone: 818-988-5999
  • Fax: 818-988-5005
Mailing address:
  • Phone: 818-988-5999
  • Fax: 818-988-5005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF01260472
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: