NPI 1114755139

Soul Street Medicine, INC.

Organisation Respite Care Los Angeles, CA

Practice location

Address: 801 W 70th St, Los Angeles, CA 90044-5218
Phone: (855) 669-1900
Fax: (323) 983-4323
Mailing address: 145 S Fairfax Ave STE 200, Los Angeles, CA 90036-2186

Authorised official

Name: Roman Rozhansky
Title: President
Phone: (855) 669-1900

Registered specialties (2)

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X

Other Respite Care providers in California →

Community Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LC1500X

Other Nurse Practitioner providers in California →

Registry record

NPI: 1114755139
Entity type: Organization
NPI issued: 22 Jul 2024
Record last updated: 22 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.