Keiko Lilly Mimura in Los Angeles - Gerontology

Keiko Lilly Mimura - NPI 1932142544

Keiko Lilly Mimura is a Gerontology in Los Angeles, California. Keiko Lilly Mimura practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Keiko Lilly Mimura is 1932142544. The last update date is 2013-05-21.

Keiko Lilly Mimura's current location address is 11500 Nimitz Ave, Los Angeles, California. You can contact this provider via phone number 4248328368 and fax number 4248328270. The mailing address for Keiko Lilly Mimura is 11500 Nimitz Ave, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Keiko Lilly Mimura
Address 11500 Nimitz Ave, Los Angeles, California
Phone Number 4248328368
Fax Number 4248328270
Sole Proprietor N
Credentials MSN, APRN,

NPI Number Detail

NPI Number 1932142544
Provider Enumeration Date 2006-06-13
Last Updated Date 2013-05-21

Provider Mailing Address Detail

Address 11500 Nimitz Ave
City Los Angeles
State California (CA)
Post Code 900493566
Phone Number 4248328368
Fax Number 4248328270

Provider's Primary Taxonomy Detail

Speciality Gerontology
Taxonomy 363Lg0600X
Licence No 14487
Definition:
An advanced practice registered nurse expert in providing care to older adult patients.

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FAQs about Keiko Lilly Mimura

What is the unique identifier code issued to Keiko Lilly Mimura by the Centers for Medicare & Medicaid Services?

The Keiko Lilly Mimura has been assigned the NPI (National Provider Identifier) 1932142544. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Keiko Lilly Mimura is physically located?

The Keiko Lilly Mimura is situated at the following address: 11500 Nimitz Ave, Los Angeles, CA 900493566.

What is the Keiko Lilly Mimura's specialty and taxonomy code?

The Keiko Lilly Mimura's specialty is Gerontology, and the corresponding taxonomy code is 363Lg0600X.

On what date did the Keiko Lilly Mimura receive the assignment of its 1932142544 from the Centers for Medicare & Medicaid Services?

The Keiko Lilly Mimura was issued its 1932142544 by the Centers for Medicare & Medicaid Services on 2006-06-13.

When was the information pertaining to Keiko Lilly Mimura most recently updated or revised?

The details related to Keiko Lilly Mimura, including its address, specialty, and other relevant information, were last updated or revised on 2013-05-21.

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