Provider Demographics
NPI:1134913635
Name:NAVARRO, ABEL JR (NP)
Entity type:Individual
Prefix:MR
First Name:ABEL
Middle Name:
Last Name:NAVARRO
Suffix:JR
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16633 VENTURA BLVD STE 902
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1847
Mailing Address - Country:US
Mailing Address - Phone:818-981-8888
Mailing Address - Fax:
Practice Address - Street 1:16633 VENTURA BLVD STE 902
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1847
Practice Address - Country:US
Practice Address - Phone:818-981-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034615363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily