Provider Demographics
NPI:1700208683
Name:PARAKKAL, MEENA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:MEENA
Middle Name:
Last Name:PARAKKAL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UCLA HEALTH 200 MEDICAL PLZ
Mailing Address - Street 2:SUITE 565
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-0001
Mailing Address - Country:US
Mailing Address - Phone:818-935-2391
Mailing Address - Fax:310-825-9170
Practice Address - Street 1:UCLA HEALTH 200 MEDICAL PLAZA
Practice Address - Street 2:SUITE 565
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095
Practice Address - Country:US
Practice Address - Phone:310-267-1369
Practice Address - Fax:310-825-9170
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-13
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000224363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily