| Miss Larissa Isabel Pineda, LVN | |
|
6368 Hollywood Blvd, Hollywood, CA 90028-6320 | |
| (818) 522-7281 | |
| Not Available |
| Full Name | Miss Larissa Isabel Pineda |
|---|---|
| Gender | Female |
| Speciality | Licensed Vocational Nurse |
| Location | 6368 Hollywood Blvd, Hollywood, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346989217 | NPI | - | NPPES |
| 695686 | Other | CA | BOARD OF VOCATIONAL NURSING AND PSYCHIATRIC TECHNICIANS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 695686 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Larissa Isabel Pineda, LVN 22030 Bassett St, Canoga Park, CA 91303-2303 Ph: (818) 522-7281 | Miss Larissa Isabel Pineda, LVN 6368 Hollywood Blvd, Hollywood, CA 90028-6320 Ph: (818) 522-7281 |
Mr. Justin Boye Levy Ashby, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 1800 Grace Ave, #4, Hollywood, CA 90028 Phone: 323-761-9274 Fax: 323-380-7709 |