SearchCaliforniaLicensed Vocational Nurse

Stephanie Vidales

NPI 1073386363 · on the registry since 2023 · sole proprietor

Practice

Address
11600 Eldridge Ave
Lake View Terrace, CA 91342
Phone
(818) 686-3000
Organisation at this address
Phoenix House Foundation
Phoenix Houses Of Los Angeles, Inc.
Phoenix Houses Of Los Angeles, Inc.
Phoenix House California - Lake View Terrace
Inferred from a shared address, not stated in the registry.
Clinicians at this address
160

Registry record

Primary taxonomy
Licensed Vocational Nurse
164X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-15

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