Josephine U. Bilas, NP
Individual provider Active NPI Nurse Practitioner · Hollywood, CA
NPI 1194139543 · NPPES record last updated Oct 5, 2015
Key facts
- NPI
- 1194139543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- NP95000671 (CA)
- Practice address
- 6245 Delongpre Ave
Suite 206
Hollywood, CA 90028-8253 - Phone
- (323) 785-1223
- NPI assigned
- Jun 13, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95000671 | CA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP95000671 | CA | Yes |
Addresses
Primary practice location
6245 Delongpre Ave
Suite 206
Hollywood, CA 90028-8253
Mailing address
23049 Archibald Ave
Carson, CA 90745-4718
Phone (818) 321-7700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP95000671 | Other | CA | NP LICENSE |
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All providers in Hollywood, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.