DR. HAYWARD LYNN EUBANKS (NPI# 1023039815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023039815 |
Entity Type | Individual |
Full Name | DR. HAYWARD LYNN EUBANKS |
Credential | M.D. |
Practice Address |
5529 Secrest Dr Los Angeles CA 90043-2029 |
Mailing Address |
4477 W 118th St Suite# 205 Hawthorne CA 90250-2255 |
Practice Telephone | 3232963431 |
Practice Fax Number | 3106790087 |
Mailing Telephone | 3106790676 |
Mailing Fax Number | 3106790087 |
Enumeration Date | 2006-07-21 |
Last Update Date | 2019-02-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
G54388 | CA | Allopathic & Osteopathic Physicians |
Street Address |
5529 SECREST DR |
City | LOS ANGELES |
State | CA |
Zip Code | 90043-2029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
Find all providers in zip 90043 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558881771 | Bel Air Surgical Institute | Otolaryngology | 11847 Wilshire Blvd Ste 302, Los Angeles, CA 90025-6634 | 2017-06-20 |
1912371352 | Ent Surgical Specialists Inc. | Otolaryngology | 6424 W Olympic Blvd, Los Angeles, CA 90048-5347 | 2015-11-23 |
1447693973 | Jacob Lee Wester | Otolaryngology | 200 Medical Plaza Driveway Ste 550, Ucla Department of Head and Neck Surgery, Los Angeles, CA 90095-0001 | 2013-04-15 |
1710187802 | Theodore Chen | Otolaryngology | 4900 W Sunset Blvd Fl 6, Los Angeles, CA 90027-5814 | 2007-07-18 |
1437218575 | Barry Jay Feinberg | Otolaryngology | 12021 Wilshire Blvd Ste 745, Los Angeles, CA 90025-1206 | 2006-12-06 |
1790712412 | Jeffrey Dale Rawnsley | Otolaryngology | 924 Westwood Blvd, Suite 515, Los Angeles, CA 90024-2910 | 2006-06-27 |
1639591407 | Carlo P. Honrado, M.d., Inc. | Otolaryngology | 2080 Century Park E, 1700, Los Angeles, CA 90067-2001 | 2014-01-14 |
1922236868 | Lucia Silu Olarte | Otolaryngology | 2080 Century Park E, Suite 1700, Los Angeles, CA 90067-2001 | 2009-06-30 |
1669622122 | Kimberly J Lee | Otolaryngology | 200 Medical Plaza, 550, Los Angeles, CA 90025 | 2008-09-22 |
1114191194 | Amit Kochhar | Otolaryngology | 1520 San Pablo St, Suite 4600, Los Angeles, CA 90033-5310 | 2008-04-21 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90043 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.