Grant, Regina

Grant, Regina is an individual health care provider with primary practice located at 12450 Van Nuys Blvd Ste 200 , Pacoima CA 91331-1393. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Grant, Regina can be contacted via phone (818) 896-1161.

Contact Information

Primary practice address
12450 Van Nuys Blvd Ste 200 Pacoima CA 91331-1393
Phone: (818) 896-1161
Fax: (818) 896-5069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 292477 California

Profile Details

NPI number 1497353304
LBN Legal business name Grant, Regina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2020
Last updated Oct 13th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497353304 NPPES
California MEDICAID 7068
California MEDICAID 6758
California MEDICAID 7420

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