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NPI Code Detail

MEDICARE: VERONICA REDINBURG

MEDICARE:   VERONICA  REDINBURG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational NurseVN155997CA

General Provider Information

NPI Number : 1043640436
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA REDINBURG
Provider Business Mailing Address
First Line : 1764 S MARVIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90019-5121
Country : US
Telephone Number : 323-633-4413
Fax Number :
Provider Business Practice Location Address
First Line : 1764 S MARVIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90019-5121
Country : US
Telephone Number : 323-633-4413
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2013
Last Update Date : 11/20/2013

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Directions to “ VERONICA REDINBURG ” Practice Location

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