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NPI Code Detail

MEDICARE: HEALTH NUTS

MEDICARE: HEALTH NUTS
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
1251E00000XHome Health Agency269742CA

General Provider Information

NPI Number : 1932548252
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH NUTS
Provider Business Mailing Address
First Line : 9475 LA SALLE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90047-3836
Country : US
Telephone Number : 323-219-6188
Fax Number : 323-777-2160
Provider Business Practice Location Address
First Line : 9475 LA SALLE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90047-3836
Country : US
Telephone Number : 323-219-6188
Fax Number : 323-777-2160
Authorized Official
Title or Position : LICENSE VOCATIONAL NURSE
Name : MS. RHONDA RENEE JORDAN
Credential : LVN
Telephone Number : 323-219-6188
Provider Enumeration Date : 06/19/2013
Last Update Date : 06/19/2013

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Directions to “HEALTH NUTS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.