Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Soul Street Medicine, Inc

Organization Community Health Nurse Practitioner · NPI 1114755139

Soul Street Medicine, Inc is a Community Health Nurse Practitioner in Los Angeles, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

801 W 70th St
Los Angeles, CA 90044-5218
Phone: (855) 669-1900
Fax: (323) 983-4323
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Respite Care (primary) Taxonomy 385H00000X
Community Health Nurse Practitioner Taxonomy 363LC1500X

Record details

NPI number1114755139
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roman Rozhansky — President · (855) 669-1900
NPI enumeratedJuly 22, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address145 S Fairfax Ave Ste 200, Los Angeles, CA 90036-2186

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