Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | NP95023362 | CA |
N | 363LA2100X | Nurse Practitioner - Acute Care | AC000806 | MD |
N | 363LA2100X | Nurse Practitioner - Acute Care | RN1013784 | DC |
NPI | 1043511744 |
---|---|
Provider Name | Mrs. Joyce V Peralta |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2010 |
Last Update Date | 08/09/2020 |