Provider Demographics
NPI:1891017349
Name:MEARIG, LLONA AVELIN (NP)
Entity type:Individual
Prefix:MRS
First Name:LLONA
Middle Name:AVELIN
Last Name:MEARIG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LLONA
Other - Middle Name:AVELIN
Other - Last Name:TAMANAHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:3338 LARGA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-2133
Mailing Address - Country:US
Mailing Address - Phone:760-221-8839
Mailing Address - Fax:
Practice Address - Street 1:12756 VAN NUYS BLVD
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-1626
Practice Address - Country:US
Practice Address - Phone:818-896-0531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17621363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner