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Contact Information

LISA J PETTINELLI, RRT, RN
3450 WILSHIRE BLVD
SUITE 840
LOS ANGELES, CA90010-2208
 Phone: 310-717-9048
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
 

Home Care

2279H0200X
Indicates primary specialty

NPI Profile & details for LISA J PETTINELLI · (Female)

NPI Number 1720251820
Status Active
Credentials RRT, RN
Entity Individual
Enumeration date 04/09/2008
Last updated 04/09/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 00011141
  • CA License # 591340
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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