ANJU ANIYAN PUTHANPURAYIL


Address: 5410 W 61st St, Los Angeles, CA 90056-9005
Phone: 3106611956

ANJU ANIYAN PUTHANPURAYIL (NPI# 1770146839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770146839
Entity Type Individual
Full Name ANJU ANIYAN PUTHANPURAYIL
Credential FNP
Practice Address 5410 W 61st St
Los Angeles
CA 90056-9005
Mailing Address 5410 W 61st St
Los Angeles
CA 90056-2003
Practice Telephone 3106611956
Mailing Telephone 3106611956
Enumeration Date 2019-04-15
Last Update Date 2019-04-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95010982 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5410 W 61ST ST
City LOS ANGELES
State CA
Zip Code 90056-9005

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1033390463 Phillip Gordon Mckinley Emergency Medicine 5219 Reynier Ave, Los Angeles, CA 90056-1018 2007-11-14
1508852518 William Robert Reeve Pharmacist 5231 Senford Ave, Los Angeles, CA 90056-1024 2005-09-25
1417083791 James L Meltzer Internal Medicine 5525 West Flauson Ave Kindred Hospital, Los Angeles, CA 90056-1047 2007-02-23
1952363012 Glenview Pathology Medical Group Pathology 5525 W Slauson Ave, Los Angeles, CA 90056-1047 2006-04-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1922621432 Latasha Tracy Warren Nurse Practitioner 1720 N Fuller Ave Apt 450, Los Angeles, CA 90046-3076 2020-05-19
1578184966 Shin Il Kim Nurse Practitioner 450 Bauchet St Fl 8, Los Angeles, CA 90012-2907 2020-04-27
1457971160 Karen Kim-chang Nurse Practitioner 450 Bauchet St Rm E815, Los Angeles, CA 90012-2907 2020-04-22
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1629605506 Ana Yely Nunez Nunez Nurse Practitioner 6017 Miramonte Blvd, Los Angeles, CA 90001-1327 2020-03-23
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Competitor

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City LOS ANGELES
Zip Code 90056

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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