Basic Information
| Provider Information | |||||||||
| NPI: | 1114056264 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EGRINI | ||||||||
| FirstName: | GENOVEVA | ||||||||
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| Credential: | LVN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7741 RADFORD AVE | ||||||||
| Address2: | |||||||||
| City: | N HOLLYWOOD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 916052860 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3238760550 | ||||||||
| FaxNumber: | 3238760439 | ||||||||
| Practice Location | |||||||||
| Address1: | 1701 CAMINO PALMERO ST | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900462902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3238760550 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164X00000X | VN162562 | CA | Y | Nursing Service Providers | Licensed Vocational Nurse |
No ID Information.