Provider Demographics
NPI:1962133983
Name:LANDA, DHYANA (RN, MSN)
Entity type:Individual
Prefix:
First Name:DHYANA
Middle Name:
Last Name:LANDA
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3685 MOTOR AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-5745
Mailing Address - Country:US
Mailing Address - Phone:323-987-3736
Mailing Address - Fax:323-800-5416
Practice Address - Street 1:3685 MOTOR AVE STE 100
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-5745
Practice Address - Country:US
Practice Address - Phone:323-987-3736
Practice Address - Fax:323-800-5416
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95078094163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health