Alvin Zamora Abas

Individual provider Active NPI Licensed Vocational Nurse · Compton, CA

NPI 1992557748 · NPPES record last updated Apr 4, 2024

Key facts

NPI
1992557748
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
183494 (CA)
Practice address
19009 S Laurel Park Rd SPC 127
Compton, CA 90220-6083
Phone
(714) 869-4947
NPI assigned
Apr 4, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
183494CAMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 183494 CA Yes

Addresses

Primary practice location

19009 S Laurel Park Rd SPC 127
Compton, CA 90220-6083

Mailing address

19009 S Laurel Park Rd SPC 127
Compton, CA 90220-6083
Phone (714) 869-4947

Other providers in Compton, CA

All providers in Compton, CA · Licensed Vocational Nurse in California

Sources for this page

Verify at the official NPI Registry.