FREDERIC MASSOUA
NPI 1306365523
Licensed Vocational Nurse in Los Angeles, CA

Active since September 19, 2017
6417 CRENSHAW BLVD APT 15, LOS ANGELES, CA 90043(424) 221-0662 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Sep 19, 2017 (2 updates tracked since 2017).

About Frederic Massoua NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERIC MASSOUA (NPI 1306365523) is an individual licensed vocational nurse in Los Angeles, California, licensed in California (LN281611) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1306365523
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameFREDERIC MASSOUA
Location Address6417 CRENSHAW BLVD APT 15Los Angeles, CA 90043-3971
Mailing Address6417 Crenshaw Blvd Apt 15Los Angeles, CA 90043-3971 · (424) 221-0662
Sole ProprietorNo
Enumeration DateSeptember 19, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1306365523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in CA · LN281611
Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

6417 CRENSHAW BLVD APT 15, Los Angeles, CA 90043

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306365523, enumerated as an "individual" on September 19, 2017.

The provider is located at 6417 CRENSHAW BLVD APT 15 LOS ANGELES, CA 90043 and the phone number is (424) 221-0662.

Licensed Vocational Nurse with taxonomy code 164X00000X.