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NPI Code Detail

MEDICARE: TERESITA PREJILLANA

MEDICARE: TERESITA PREJILLANA
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
1163W00000XRegistered Nurse511410CA

General Provider Information

NPI Number : 1992124267
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESITA PREJILLANA
Provider Business Mailing Address
First Line : 2525 COLORADO BLVD STE D
Second Line :
City : LOS ANGELES
State : CA
Zip : 90041-1062
Country : US
Telephone Number : 323-739-0333
Fax Number : 323-739-0330
Provider Business Practice Location Address
First Line : 2525 COLORADO BLVD STE D
Second Line :
City : LOS ANGELES
State : CA
Zip : 90041-1062
Country : US
Telephone Number : 323-739-0333
Fax Number : 323-739-0330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2014
Last Update Date : 04/15/2014

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Directions to “ TERESITA PREJILLANA ” Practice Location

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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.

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