MRS. EDEN B DABALUS (NPI# 1477061232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477061232 |
| Entity Type | Individual |
| Full Name | MRS. EDEN B DABALUS |
| Credential | NP |
| Practice Address |
15331 S Ainsworth St Gardena CA 90247-4223 |
| Practice Telephone | 3108488865 |
| Practice Fax Number | 3108488865 |
| Mailing Telephone | 3108488865 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95008189 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15331 S AINSWORTH ST |
| City | GARDENA |
| State | CA |
| Zip Code | 90247-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
| 1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
| Find all providers in zip 90247 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825193 | Adaljiza Tavera | Nurse Practitioner | 1225 W 190th St Ste 280, Gardena, CA 90248-4305 | 2020-09-14 |
| 1104441401 | Amechi Lilian Obodoagha | Nurse Practitioner | 1720 Marine Ave, Gardena, CA 90247-3110 | 2020-06-11 |
| 1073142121 | Angela Ugochi Otegbulu | Nurse Practitioner | 13812 Spinning Ave, Gardena, CA 90249-2365 | 2020-04-01 |
| 1386295632 | Mimi S Sanchez | Nurse Practitioner | 15710 Spinning Ave, Gardena, CA 90249-4645 | 2019-09-26 |
| 1518464486 | Ugochi Nnadozie | Nurse Practitioner | 1455 W Redondo Beach Blvd Unit 3668, Gardena, CA 90247-6592 | 2018-04-09 |
| 1801325949 | Ifeoma Nwufor | Nurse Practitioner | 1204 W Gardena Blvd Ste B, Gardena, CA 90247-5923 | 2017-06-11 |
| 1598197063 | Joliza Klingman | Nurse Practitioner | 1243 W 184th St, Gardena, CA 90248-4015 | 2013-08-06 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1902093651 | Yoonjin Chang | Nurse Practitioner | 1141 W Redondo Beach Blvd Ste 104, Gardena, CA 90247-3585 | 2007-09-26 |
| 1083221683 | Chinyere Esther Opara | Nurse Practitioner | 500 W 190th St Fl 4, Gardena, CA 90248-4268 | 2020-09-28 |
| Find all providers in GARDENA | ||||
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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.