Provider Demographics
NPI:1134347917
Name:RHODES, DENISE JAYNE BESAS (RN, CNS, NP)
Entity type:Individual
Prefix:
First Name:DENISE JAYNE
Middle Name:BESAS
Last Name:RHODES
Suffix:
Gender:F
Credentials:RN, CNS, NP
Other - Prefix:
Other - First Name:DENISE JAYNE
Other - Middle Name:BESAS
Other - Last Name:ALEJANDRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CNS, NP
Mailing Address - Street 1:4822 HOLLOW CORNER ROAD
Mailing Address - Street 2:UNIT 175
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-8650
Mailing Address - Country:US
Mailing Address - Phone:310-729-4782
Mailing Address - Fax:
Practice Address - Street 1:1000 W CARSON ST
Practice Address - Street 2:BOX 460, BLDG. N26-C
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90509
Practice Address - Country:US
Practice Address - Phone:310-222-6520
Practice Address - Fax:310-787-0111
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65933163WC1500X
CA608850163WP0200X
CA2396363LP0200X
CA16195364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics