ENA VILMA HERNANDEZ


Address: 245 S Fetterly St, Los Angeles, CA 90022
Phone: (323) 362-1202

ENA VILMA HERNANDEZ (NPI# 1467974824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467974824
Entity Type Individual
Full Name ENA VILMA HERNANDEZ
Other Name ENA MEDINA
Credential RN
Practice Address 245 S Fetterly St
Los Angeles
CA 90022
Mailing Address 245 S Fetterly Ave
Los Angeles
CA 90022-1605
Practice Telephone (323) 362-1202
Practice Fax Number 3237802243
Mailing Telephone 3233621202
Mailing Fax Number 3237802243
Enumeration Date 2017-07-07
Last Update Date 2017-07-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP2201X Registered Nurse
Specialization: Ambulatory Care
681486 CA Nursing Service Providers

Office Location

Street Address 245 S FETTERLY ST
City LOS ANGELES
State CA
Zip Code 90022

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Taxonomy Information

Taxonomy Code 163WP2201X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Ambulatory Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780191353 Raynard Sterling Registered Nurse 2161 Van Wick St, Los Angeles, CA 90047-4644 2018-01-04
1346767076 David A Alvarez Registered Nurse 1200n. State St., Los Angeles, CA 90033 2017-08-24
1942723556 Catherine Rabena Registered Nurse 2010 Zonal Ave # 3p22, Los Angeles, CA 90033-1026 2017-07-25
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1235651639 Ana Maria Lastra Registered Nurse 2010 Zonal Ave # 5wopd, Los Angeles, CA 90033-1026 2017-07-07
1639690803 Michelle Pittman Registered Nurse 2829 South Grand Ave., H. Claude Hudson Chc, Los Angeles, CA 90007 2017-06-28
1568983773 Debbie Sharon Gillett Registered Nurse 2829 South Grand Avenue, H. Claude Hudson Health Center, Los Angeles, CA 90007 2017-06-28
1518487099 Margarita Martires Registered Nurse 2829 S Grand Ave # 116, Los Angeles, CA 90007-3304 2017-06-26
1831619584 Jennifer Castillo Registered Nurse 245 S Fetterly Ave Ofc, Los Angeles, CA 90022-1605 2017-06-23
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Competitor

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City LOS ANGELES
Zip Code 90022

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Dataset Information

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.

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