IndividualActive
Eliazar Herrera, RN
NPI 1487707501 · Peritoneal Dialysis Registered Nurse · Los Angeles, CA
Provider details
- NPI number
- 1487707501
- Entity type
- Individual
- Primary specialty
- Peritoneal Dialysis Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 557492 (CA)
Practice location
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone: (310) 478-3711
Mailing address
1824 S Ogden Dr
Los Angeles, CA 90019-5037
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.