Provider Demographics
NPI:1740753565
Name:FIGUEROA, PEDRO (NP)
Entity Type:Individual
Prefix:
First Name:PEDRO
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6860 BELLAIRE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-5220
Mailing Address - Country:US
Mailing Address - Phone:818-219-3759
Mailing Address - Fax:818-219-3759
Practice Address - Street 1:14659 OLIVE VIEW DR
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-1652
Practice Address - Country:US
Practice Address - Phone:818-485-0867
Practice Address - Fax:818-833-5690
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-03
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95154943163WP0808X
CA95019578363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health