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Search › California › 172V00000X

Juan Henriquez

NPI 1063860633 · on the registry since 2016

Practice

Address
4211 Avalon Blvd
Los Angeles, CA 90011
Phone
(323) 233-0425
Fax
(323) 232-2366
Organisation at this address
Kedren Health
Prime Pharmacy Services Inc
Kedren Community Care Clinic - B
Kedren Acute Psychiatric Hospital
Kedren Integrated Care System, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
351

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California