EDISON LAWRENCE OLIVA ESCOBAR (NPI# 1316577950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316577950 |
Entity Type | Individual |
Full Name | EDISON LAWRENCE OLIVA ESCOBAR |
Practice Address |
8625 Topley Ln Sunland CA 91040-1848 |
Practice Telephone | 8183349846 |
Mailing Telephone | 8183349846 |
Enumeration Date | 2020-01-23 |
Last Update Date | 2020-01-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
8625 TOPLEY LN |
City | SUNLAND |
State | CA |
Zip Code | 91040-1848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013420983 | Klarinda Barkhordarian Boghosian | Pharmacist | 11000 Scoville Ave, Sunland, CA 91040 | 2017-11-14 |
1356735369 | Medex Pharmacies Corp | Pharmacy | 8441 Foothill Boulvard, Sunland, CA 91040 | 2015-03-27 |
1992196083 | Pulse Health Facility, Inc. | Skilled Nursing Facility | 8410 Grenoble Street, Sunland, CA 91040 | 2015-02-10 |
1750640967 | Pad Diagnostics Inc | General Practice | 10823 Odell Ave, Sunland, CA 91040 | 2012-05-08 |
1932485091 | Freedom Hospice Inc | Home Health | 8138 Foothill Blvd Suite ., 250, Sunland, CA 91040 | 2011-11-02 |
1184946766 | Kristina Ann Drossos | Psychologist | 8664 Leberthon Street, Sunland, CA 91040 | 2010-02-23 |
1013063841 | Canyon Home II | Intermediate Care Facility, Mentally Retarded | 8611 Wentworth, Sunland, CA 91040 | 2007-01-26 |
1750483103 | Homeira Firoozeh & Mahvash Emami Sadr Inc | Dentist | 7902 Foothill Blvd, Sunland, CA 91040 | 2006-09-05 |
1215992615 | Pandian Paul Vibooshanan | Pediatrics | 8316 Food Hills Blvd, Sunland, CA 91040 | 2006-04-19 |
1972823441 | Kim Soheila Pourahmad | Pharmacist | 10465 Sunland Blvd, Rite-aid Pharmacy, Sunland, CA 91040 | 2010-06-08 |
Find all providers in zip 91040 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811339039 | Emily Rose Menart | Student in an Organized Health Care Education/Training Program | 10348 La Canada Way, Sunland, CA 91040-1212 | 2013-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
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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.