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Contact Information

THALIA L BRUCE
5519 BONNER AVE APT 2
NORTH HOLLYWOOD, CA91601-5723
 Phone: 661-993-8542
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1457982522
Entity Organization
Organization subpart 1 Not specified
Enumeration date 01/28/2020
Last updated 01/28/2020 - About 6 years ago
Identifiers
CA License # 95192120
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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