Grace Ebenuwa in Los Angeles - Obstetrics & Gynecology

Grace Ebenuwa - NPI 1164629697

Grace Ebenuwa is a Obstetrics & Gynecology in Los Angeles, California. Grace Ebenuwa practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Grace Ebenuwa is 1164629697. The last update date is 2007-07-08.

Grace Ebenuwa's current location address is 12021 Wilmington Ave, Los Angeles, California. You can contact this provider via phone number 3106684506 and fax number 3107638909. The mailing address for Grace Ebenuwa is 12021 Wilmington Ave, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Grace Ebenuwa
Address 12021 Wilmington Ave, Los Angeles, California
Phone Number 3106684506
Fax Number 3107638909
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1164629697
Provider Enumeration Date 2007-06-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12021 Wilmington Ave
City Los Angeles
State California (CA)
Post Code 900593019
Phone Number 3106684506
Fax Number 3107638909

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 363Lx0001X
Licence No RN401793
Definition:
An advanced practice registered nurse expert in healthcare services related to the female reproductive system across the lifespan.

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FAQs about Grace Ebenuwa

What is the unique 10-digit identification code assigned to Grace Ebenuwa by the Centers for Medicare & Medicaid Services?

The Grace Ebenuwa has been issued the NPI (National Provider Identifier) 1164629697, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Grace Ebenuwa?

The Grace Ebenuwa is physically situated at 12021 Wilmington Ave, in the city of Los Angeles, state of CA, with the postal code 900593019.

What is Grace Ebenuwa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Grace Ebenuwa's area of specialization is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this field of practice is 363Lx0001X.

On what date did the Grace Ebenuwa receive its 1164629697 assignment from the Centers for Medicare & Medicaid Services?

The Grace Ebenuwa was assigned its 1164629697 by the Centers for Medicare & Medicaid Services on 2007-06-28.

When was the information related to Grace Ebenuwa most recently updated or refreshed?

The details pertaining to the Grace Ebenuwa, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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