IndividualActive
Allen Pouravanes
NPI 1720378946 · Psychiatric/Mental Health Registered Nurse · Los Angeles, CA
Provider details
- NPI number
- 1720378946
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 587382 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
529 Maple Ave
Los Angeles, CA 90013-1511
Phone: (213) 430-6283
Approximate (ZIP-level) locationGet directions
Mailing address
529 Maple Ave
Los Angeles, CA 90013-1511
Registry dates
- Enumerated
- 2011-04-08
- Last updated
- 2011-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.