Mimura, Keiko Lilly
Mimura, Keiko Lilly is an individual health care provider with primary practice located at 11500 Nimitz Ave , Los Angeles CA 90049-3566. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Mimura, Keiko Lilly can be contacted via phone (424) 832-8368.Contact Information
Primary practice address
11500 Nimitz Ave
Los Angeles CA 90049-3566
Phone: (424) 832-8368
Fax: (424) 832-8270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 14487 | California |
Profile Details
| NPI number | 1932142544 |
|---|---|
| LBN Legal business name | Mimura, Keiko Lilly |
| Credentials | MSN, APRN, BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | May 21st, 2013 - about 11 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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