Provider Demographics
NPI:1013535897
Name:LUZINDA-SSENGO, JULIET
Entity Type:Individual
Prefix:
First Name:JULIET
Middle Name:
Last Name:LUZINDA-SSENGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9520 TOPANGA CANYON BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-4049
Mailing Address - Country:US
Mailing Address - Phone:818-960-4530
Mailing Address - Fax:
Practice Address - Street 1:9520 TOPANGA CANYON BLVD STE 204
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-4049
Practice Address - Country:US
Practice Address - Phone:818-960-4530
Practice Address - Fax:818-626-8199
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide