EZEQUIEL ADONY ANDRADE (NPI# 1689296576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689296576 |
| Entity Type | Individual |
| Full Name | EZEQUIEL ADONY ANDRADE |
| Credential | MD |
| Practice Address |
1403 Lomita Blvd Ste 102 Harbor City CA 90710-2084 |
| Mailing Address |
734 W 115th St Los Angeles CA 90044-4123 |
| Practice Telephone | 4243064000 |
| Mailing Telephone | 2134220555 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| 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 |
1403 LOMITA BLVD STE 102 |
| City | HARBOR CITY |
| State | CA |
| Zip Code | 90710-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730258336 | Carla Ann Toms | Legal Medicine | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2006-11-07 |
| 1962023275 | Jonathan Diaz | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2020-04-28 |
| 1639799109 | Abrahan Natanael Lara-pacheco | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2020-04-24 |
| 1639799273 | Danny Jajune Lee | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2020-04-23 |
| 1447870522 | Camila Alvarado | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2020-04-20 |
| 1194287367 | Leonel Martinez | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2019-04-04 |
| 1427544204 | Monique Genevieve Hedmann | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2018-07-05 |
| 1003278029 | Lynnea Wilson Morm | Family Medicine | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2016-03-28 |
| 1487065033 | Josephine Aranda | Pharmacist | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2014-05-16 |
| 1033372917 | Elvina L Torres-campos | Family Medicine | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2008-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036018 | Eddie Blackmon IIi | Respiratory Therapist, Registered | 25820 Normandie Ave, Harbor City, CA 90710 | 2020-09-08 |
| 1316502099 | Jennifer Ilene Estey | Nurse Practitioner | 1403 Lomita Blvd Ste 307, Harbor City, CA 90710 | 2019-05-07 |
| 1104398643 | Active Life Home Care Inc | In Home Supportive Care | 760 W. Lomita Blvd., Suite 79, Harbor City, CA 90710 | 2018-12-21 |
| 1073088514 | Ez Access Transportation Corp. | Non-emergency Medical Transport (VAN) | 24328 S Vermont Ave, Suite #313, Harbor City, CA 90710 | 2018-10-11 |
| 1689192791 | County of Los Angeles Auditor Controller | Clinic/Center | 1403 Lomita Blvd., Suite 102, Rooms 1-26 & Conference Room, Harbor City, CA 90710 | 2017-09-08 |
| 1174041347 | Cb Carehome, Inc | Skilled Nursing Facility | 23331 Maltby Place, Harbor City, CA 90710 | 2017-09-07 |
| 1649705682 | Gina Guillaume | Student in an Organized Health Care Education/Training Program | 1403 West Lomita Blvd Suite 200, Harbor City, CA 90710 | 2017-04-27 |
| 1760843213 | Karen Savoni | Social Worker | 25975 Normandie Avenue, Harbor City, CA 90710 | 2016-03-11 |
| 1699148593 | Kaiser Permanente | Health Maintenance Organization | 25965 S. Normandie Aveune, Harbor City, CA 90710 | 2015-11-02 |
| 1164778148 | Thermon Lenelle Carrier | Driver | 1332 W. 254th St, Apt E, Harbor City, CA 90710 | 2012-07-27 |
| Find all providers in zip 90710 | ||||
| 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 |
|---|---|---|---|---|
| 1326535956 | Charlie Chulhyun Park | Student in an Organized Health Care Education/Training Program | 1427 Lomita Blvd Unit 7, Harbor City, CA 90710-2097 | 2018-04-19 |
| 1649705682 | Gina Guillaume | Student in an Organized Health Care Education/Training Program | 1403 West Lomita Blvd Suite 200, Harbor City, CA 90710 | 2017-04-27 |
| 1922292861 | Portia Bhattarai | Student in an Organized Health Care Education/Training Program | 1388 260th St, Harbor City, CA 90710-3365 | 2007-09-04 |
| 1962023275 | Jonathan Diaz | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2020-04-28 |
| 1639799109 | Abrahan Natanael Lara-pacheco | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2020-04-24 |
| 1639799273 | Danny Jajune Lee | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2020-04-23 |
| 1316567043 | Oluwafemisayo A Akinnagbe | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 200, Harbor City, CA 90710-2086 | 2020-04-22 |
| 1124648845 | Marvin Ambriz | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 200, Harbor City, CA 90710-2086 | 2020-04-22 |
| 1447870522 | Camila Alvarado | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2020-04-20 |
| 1285254326 | Olisemeka Okafor | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Harbor City, CA 90710-2076 | 2020-04-18 |
| Find all providers in HARBOR CITY | ||||
| City | HARBOR CITY |
| Zip Code | 90710 |
Please comment or provide details below to improve the information on EZEQUIEL ADONY ANDRADE.
| 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.