Most Relevant Information
Provider Data
| NPI Number: | 1003560962 |
| Provider Name: | ISABELLA JUSAY NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 95019830 |
Most Important Dates
| Enumeration Date: | 02/09/2022 |
| Last Updated: | 02/09/2022 |
Provider Practice Location
1680 E 120TH ST
LOS ANGELES
CA
900593026
Practice Location Phone/Fax
| Phone: | 4243388000 |
| Fax: |
Provider Mailing Location
1680 E 120TH ST
LOS ANGELES
CA
900593026
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |