Provider Demographics
NPI:1639943350
Name:CEDARS NURSING VIRTUAL CLINIC INC
Entity Type:Organization
Organization Name:CEDARS NURSING VIRTUAL CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIEVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-606-3888
Mailing Address - Street 1:7119 1/2 W SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-4595
Mailing Address - Country:US
Mailing Address - Phone:323-874-3972
Mailing Address - Fax:
Practice Address - Street 1:7119 1/2 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-4595
Practice Address - Country:US
Practice Address - Phone:323-874-3972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty