DR. ETHEL DIJAMCO (NPI# 1780750752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780750752 |
| Entity Type | Individual |
| Full Name | DR. ETHEL DIJAMCO |
| Credential | MD |
| Practice Address |
6511 Van Nuys Blvd Van Nuys CA 91401-1425 |
| Mailing Address |
Po Box 10432 Beverly Hills CA 90213-3432 |
| Practice Telephone | 8189019090 |
| Practice Fax Number | 8189019347 |
| Mailing Telephone | 2136372530 |
| Mailing Fax Number | 2133843373 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A48307 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A483070 | 05 |
| Street Address |
6511 VAN NUYS BLVD |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91401-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962459479 | Valley Clinica Medica General, Med Ctr Inc | Clinic/Center | 6511 Van Nuys Blvd, Van Nuys, CA 91401-1425 | 2006-05-28 |
| 1568018273 | Marlyn Murillo | Nurse Practitioner | 6511 Van Nuys Blvd, Van Nuys, CA 91401-1425 | 2019-08-18 |
| 1053964155 | Huntington Park Clinica Medica General, Medical Center, Inc | Family Medicine | 6511 Van Nuys Blvd, Van Nuys, CA 91401-1425 | 2019-07-18 |
| 1972156180 | El Monte Clinica Medica General Medical Center, Inc | Family Medicine | 6511 Van Nuys Blvd, Van Nuys, CA 91401-1425 | 2019-07-17 |
| 1801449012 | Los Angeles Clinica Medica General Medical Center, Inc. | Family Medicine | 6511 Van Nuys Blvd, Van Nuys, CA 91401-1425 | 2019-07-17 |
| 1497127070 | Samira Amirova | Nurse Practitioner | 6511 Van Nuys Blvd, Van Nuys, CA 91401-1425 | 2015-10-22 |
| 1588714679 | Blanca Lopez Galapon | General Practice | 6511 Van Nuys Blvd, Van Nuys, CA 91401-1425 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467004101 | Express Homeservice Inc | Home Health | 13515 Victory Blvd Suite 207, Van Nuys, CA 91401 | 2019-07-12 |
| 1285192690 | Community Care Hospice,inc. | Hospice Care, Community Based | 13629 1/2 Victory Blvd., Van Nuys, CA 91401 | 2019-03-05 |
| 1124501242 | Steven Vu Pham | Pharmacist | 5601 Van Nuys Boulevard, Sherman Oaks, CA 91401 | 2018-09-14 |
| 1184116469 | Well Care Home Health Care Inc | Home Health | 13735 Victory Blvd Ste 3, Van Nuys, CA 91401 | 2018-06-03 |
| 1821504911 | Martha J Rivas-mendoza | Specialist/Technologist | 3130 Burbank Blvd, Sherman Oaks, CA 91401 | 2017-12-27 |
| 1780104687 | Jessica Tang | Marriage & Family Therapist | 13130 Burbank Boulevard, Sherman Oaks, CA 91401 | 2017-06-21 |
| 1184152530 | Creative Approach Residential Inc. | Clinic/Center | 5348 Allott Ave., Sherman Oaks, CA 91401 | 2017-05-30 |
| 1578004503 | David Mashadian Chiropractic Dc Inc | Chiropractor | 14401 Sylvan St #101, Van Nuys, CA 91401 | 2017-03-09 |
| 1154872414 | A.n.t. Hospice Inc | Hospice Care, Community Based | 13629 1/2 Victory Blvd, Van Nuys, CA 91401 | 2016-10-20 |
| 1245785070 | Jack Bayraymyan Dental Group Inc. | Dentist | 14424 Victory Blvd., Van Nuys, CA 91401 | 2016-08-22 |
| Find all providers in zip 91401 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1689164089 | Michael C Daignault Md PC | General Practice | 6411 Sepulveda Blvd Ste 2b, Van Nuys, CA 91411-1304 | 2018-05-11 |
| 1013282938 | Ril Medical Group Inc | General Practice | 14545 Friar St Unit 113, Van Nuys, CA 91411-2397 | 2012-03-09 |
| 1114191798 | Max Mahmoud Ghannadi | General Practice | 14103 Victory Blvd, Suite 7, Van Nuys, CA 91304-3863 | 2008-04-15 |
| 1518161629 | Anita Emperatriz Gonzalez | General Practice | 14649 Victory Blvd Ste 20, Van Nuys, CA 91411-4101 | 2007-06-13 |
| 1700095817 | Sofya Albukh, Md A Prof. Corp. | General Practice | 6850 Sepulveda Blvd Ste 200, Van Nuys, CA 91405-4467 | 2007-05-22 |
| 1881813988 | Health Care Systems | General Practice | 16935 Vanowen St, Unit H, Van Nuys, CA 91406-4595 | 2007-04-25 |
| 1518007566 | Lawrence Madoff | General Practice | 6411 Sepulveda Boulevard Suite 2-b, Van Nuys, CA 91411-1304 | 2007-02-07 |
| 1881742047 | Dagmar I Liepa | General Practice | 14407 Hamlin St, Ste A, Van Nuys, CA 91401-6200 | 2007-01-06 |
| 1407405855 | Multi Care Medical Clinic Inc. | General Practice | 13754 Victory Blvd, Van Nuys, CA 91401-2324 | 2019-09-09 |
| Find all providers in VAN NUYS | ||||
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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.