Most Relevant Information
Provider Data
| NPI Number: | 1003437047 |
| Provider Name: | OLIVE KAHURA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95014262 |
Most Important Dates
| Enumeration Date: | 04/30/2020 |
| Last Updated: | 04/30/2020 |
Provider Practice Location
450 BAUCHET ST
LOS ANGELES
CA
900122907
Practice Location Phone/Fax
| Phone: | 6612957887 |
| Fax: |
Provider Mailing Location
450 BAUCHET ST
LOS ANGELES
CA
900122907
Provider Mailing Phone/Fax
| Phone: | 6612957887 |
| Fax: |