Fadely, Teresa Mahoney

Fadely, Teresa Mahoney is an individual health care provider with primary practice located at 200 Ucla Medical Plz Ste B265, Los Angeles CA 90095-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Fadely, Teresa Mahoney can be contacted via phone (310) 825-0128.

Contact Information

Primary practice address
200 Ucla Medical Plz Ste B265 Los Angeles CA 90095-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 16174 California

Profile Details

NPI number 1821214024
LBN Legal business name Fadely, Teresa Mahoney
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jun 28th, 2011 - about 14 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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