RUVY ROSE DAYRIT KUTILEK
Nurse Practitioner (Acute Care)

Address: 2642 S Bedford St, Los Angeles, CA 90034-2414

RUVY ROSE DAYRIT KUTILEK (NPI# 1184207771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184207771
Entity Type Individual
Full Name RUVY ROSE DAYRIT KUTILEK
Gender Female
Credential NP
Practice Address 2642 S Bedford St
Los Angeles
CA 90034-2414
Practice Telephone 2134486308
Mailing Address 2642 S Bedford St
Los Angeles
CA 90034-2414
Mailing Telephone 2134486308
Certification Date 2021-04-30
Enumeration Date 2021-04-30
Last Update Date 2021-04-30
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
95015661 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2642 S BEDFORD ST
City LOS ANGELES
State CA
Zip Code 90034-2414

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City LOS ANGELES
Zip Code 90034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.