IndividualActive
Keena Johnson-Bolden, FNP-BC
NPI 1780136820 · Ambulatory Women's Health Care Registered Nurse · Los Angeles, CA
Provider details
- NPI number
- 1780136820
- Entity type
- Individual
- Primary specialty
- Ambulatory Women's Health Care Registered NurseNursing Service Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 634327 (CA)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
400 W 30th St
Los Angeles, CA 90007-3320
Phone: (213) 284-3200
Approximate (ZIP-level) locationGet directions
Mailing address
400 W 30th St
Los Angeles, CA 90007-3320
Registry dates
- Enumerated
- 2016-10-25
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.