Promed Providers LLC
NPI #1811267503 in Los Angeles, California
Provider Information
- NPI Number
- 1811267503
- Entity Type
- Organization
- Organization Name
- Promed Providers LLC
- Primary Specialty
- Clinical Nurse Specialist - Chronic Care
- Enumeration Date
- Jan 11, 2012
- Last Updated
- Jan 19, 2012
Practice Location
- Address
- 1936 PINEHURST RD
- City
- Los Angeles
- State
- California
- ZIP Code
- 90068-3730
- Phone
- (213) 840-0123
Authorized Official
- Name
- DONALD SHINZATO PORTER
- Title
- PRESIDENT
- Phone
- (213) 840-0123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist - Chronic Care — Chronic Care |
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