Provider Demographics
NPI:1609418136
Name:ARONOFF, GEORGINA ANOUSKA (RN, PHN)
Entity Type:Individual
Prefix:
First Name:GEORGINA
Middle Name:ANOUSKA
Last Name:ARONOFF
Suffix:
Gender:F
Credentials:RN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3656 BUENA PARK DR
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-3807
Mailing Address - Country:US
Mailing Address - Phone:818-800-1388
Mailing Address - Fax:
Practice Address - Street 1:3107 S GRAND AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-3816
Practice Address - Country:US
Practice Address - Phone:213-744-1688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95184003163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health