CARLETTA Y HENDERSON
NPI 1104522218
Registered Nurse - Ambulatory Care in Los Angeles, CA
Active since February 01, 2023
About Carletta Y Henderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLETTA Y HENDERSON (NPI 1104522218) is an individual ambulatory care provider in Los Angeles, California, licensed in California (482184) and active in the NPI registry since February 2023.
NPPES Registry Identity
NPI1104522218
Entity TypeIndividualFemale
Primary Taxonomy163WP2201X
Provider Legal NameCARLETTA Y HENDERSON
Location Address12021 WILMINGTON AVELos Angeles, CA 90059-3019
Mailing Address12021 Wilmington AveLos Angeles, CA 90059-3019 · (424) 758-9601
Phone(424) 758-9601
Sole ProprietorYes
Enumeration DateFebruary 1, 2023
NPPES CertifiedFebruary 1, 2023
✔ NPI 1104522218 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in CA · 482184
12021 WILMINGTON AVE, Los Angeles, CA 90059
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Pediatrics (Pediatric Nephrology)
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
Internal Medicine (Gastroenterology)
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
General Acute Care Hospital
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
General Acute Care Hospital
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104522218, enumerated as an "individual" on February 01, 2023.
The provider is located at 12021 WILMINGTON AVE LOS ANGELES, CA 90059 and the phone number is (424) 758-9601.
Registered Nurse with taxonomy code 163WP2201X and a focus in Ambulatory Care.
