Ahl, Revital

Ahl, Revital is an individual health care provider with primary practice located at 18141 Medley Dr , Encino CA 91316-4447. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ahl, Revital can be contacted via phone (818) 422-4077.

Contact Information

Primary practice address
18141 Medley Dr Encino CA 91316-4447
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 58759 California

Profile Details

NPI number 1538769062
LBN Legal business name Ahl, Revital
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2020
Last updated Oct 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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