Provider Demographics
NPI:1801096722
Name:COJOCNEAN, FELICIA M (NP)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:M
Last Name:COJOCNEAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:FELICIA
Other - Middle Name:
Other - Last Name:CHIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 51238
Mailing Address - Street 2:ATTTENTION: MAGGIE NOLES
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90051-5538
Mailing Address - Country:US
Mailing Address - Phone:562-741-4461
Mailing Address - Fax:562-741-4413
Practice Address - Street 1:11525 BROOKSHIRE AVE STE 301
Practice Address - Street 2:ATTENTION: MAGGIE NOLES
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4982
Practice Address - Country:US
Practice Address - Phone:562-862-3684
Practice Address - Fax:562-862-7145
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 559490163W00000X
CANP 17302363L00000X
CA17302363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA69424OtherPHN