Lisa Jo Pettinelli in Los Angeles - Home Health
Lisa Jo Pettinelli - NPI 1720251820
Lisa Jo Pettinelli is a Home Health in Los Angeles, California. Lisa Jo Pettinelli practices all healthcare services and medical treatments related to Home Health. The NPI Number for Lisa Jo Pettinelli is 1720251820. The last update date is 2008-04-09.
Lisa Jo Pettinelli's current location address is 6362 Colgate Ave, Los Angeles, California. You can contact this provider via phone number 3107179048. The mailing address for Lisa Jo Pettinelli is 6362 Colgate Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Jo Pettinelli |
|---|---|
| Address | 6362 Colgate Ave, Los Angeles, California |
| Phone Number | 3107179048 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RRT, RN |
NPI Number Detail
| NPI Number | 1720251820 |
|---|---|
| Provider Enumeration Date | 2008-04-09 |
| Last Updated Date | 2008-04-09 |
Provider Mailing Address Detail
| Address | 6362 Colgate Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900484407 |
| Phone Number | 3107179048 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 163Wh0200X |
| Licence No | 591340 |
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Definition: A registered nurse who cares for homebound patients requiring skilled services. |
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What is the unique identifier code issued to Lisa Jo Pettinelli by the Centers for Medicare & Medicaid Services?
The Lisa Jo Pettinelli has been assigned the NPI (National Provider Identifier) 1720251820. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lisa Jo Pettinelli located?
The Lisa Jo Pettinelli is located at 6362 Colgate Ave, Los Angeles, CA 900484407.
What is Lisa Jo Pettinelli's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa Jo Pettinelli is Home Health, and the taxonomy classification code that categorizes this area of expertise is 163Wh0200X.
On what date did the Lisa Jo Pettinelli receive the assignment of its 1720251820 from the Centers for Medicare & Medicaid Services?
The Lisa Jo Pettinelli was issued its 1720251820 by the Centers for Medicare & Medicaid Services on 2008-04-09.
As of what date were the details related to Lisa Jo Pettinelli most recently updated or revised?
The information pertaining to Lisa Jo Pettinelli, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-09.
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