Provider Demographics
NPI:1558125815
Name:ESTRADA, OSCAR ARMANDO (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:ARMANDO
Last Name:ESTRADA
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9111 LEMONA AVE UNIT 6
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-3445
Mailing Address - Country:US
Mailing Address - Phone:805-341-8319
Mailing Address - Fax:
Practice Address - Street 1:9111 LEMONA AVE UNIT 6
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-3445
Practice Address - Country:US
Practice Address - Phone:805-341-8319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2023193387363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily