Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mavis Fernando, CPNP-AC/PC

Individual provider Acute Care Nurse Practitioner · NPI 1083493100

Mavis Fernando, CPNP-AC/PC is an Acute Care Nurse Practitioner in Los Angeles, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone: (323) 660-2450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 — (323) 660-2450

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95026155 (CA)

Record details

NPI number1083493100
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC/PC
Sole proprietorNo
NPI enumeratedSeptember 27, 2023
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023

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