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

Princess Louise Viceral Aqui

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1114682796

Princess Louise Viceral Aqui is a Psychiatric/Mental Health Nurse Practitioner in Gardena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

15519 Crenshaw Blvd
Gardena, CA 90249-4525
Phone: (310) 679-9126
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95018979 (CA)

Record details

NPI number1114682796
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 8, 2021
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022

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