Healthcare Provider Details

I. General information

NPI: 1891483863
Provider Name (Legal Business Name): ELIZABETH ARAMBULA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15211 VANOWEN ST STE 200
VAN NUYS CA
91405-3606
US

IV. Provider business mailing address

9415 SYLMAR AVE UNIT 3
PANORAMA CITY CA
91402-6902
US

V. Phone/Fax

Practice location:
  • Phone: 818-782-3255
  • Fax:
Mailing address:
  • Phone: 818-384-0987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95024833
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: