Provider Demographics
NPI:1316150261
Name:DRESSLER, KATHY ANN (FNP)
Entity type:Individual
Prefix:MS
First Name:KATHY
Middle Name:ANN
Last Name:DRESSLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4118 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90065-4262
Mailing Address - Country:US
Mailing Address - Phone:323-257-1402
Mailing Address - Fax:323-881-8791
Practice Address - Street 1:1720 E CESAR E CHAVEZ AVE
Practice Address - Street 2:CANCER CENTER
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-2414
Practice Address - Country:US
Practice Address - Phone:323-260-5898
Practice Address - Fax:323-881-8791
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA334072363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZT40103FMedicaid