Provider / Organization | NPI | Date Certified |
---|---|---|
ROY ALLAN O ELEVAZO | 1427489483 | 2023-11-10 |
Roy Allan O Elevazo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1427489483. Registration indicates Roy Allan O Elevazo is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Roy Allan O Elevazo PMHNP-BC |
Practice Office Address | 5220 CLARK AVE STE 400 LAKEWOOD, CA US |
Practice Office Telephone | 5628043575 |
Practice Office Fax | 5622868123 |
Mailing Address | 3553 ATLANTIC AVENUE #253 LONG BEACH, CA 90807 US |
Business Telephone | 5628043575 |
Code | Practice | License No State |
---|---|---|
363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 95000309
CA |