Healthcare Provider Details

I. General information

NPI: 1578401873
Provider Name (Legal Business Name): SEAVAINT HEALTH NURSING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14540 VICTORY BLVD STE 214
VAN NUYS CA
91411-4158
US

IV. Provider business mailing address

14540 VICTORY BLVD STE 214
VAN NUYS CA
91411-4158
US

V. Phone/Fax

Practice location:
  • Phone: 818-880-7143
  • Fax: 661-449-3679
Mailing address:
  • Phone: 818-880-7639
  • Fax: 661-449-3679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SOPHIA NAIRIMA
Title or Position: OWNER - PROVIDER
Credential: NAIRIMA
Phone: 818-310-7143