IZUNNA VINCENT EWUDO (NPI# 1255786646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255786646 |
| Entity Type | Individual |
| Full Name | IZUNNA VINCENT EWUDO |
| Credential | NP |
| Practice Address |
808 W 58th St Los Angeles CA 90037-3632 |
| Practice Telephone | 3235411411 |
| Mailing Telephone | 3235411411 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2017-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95004185 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
808 W 58TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90037-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356457550 | Adrienne L Hurley | Physician Assistant | 808 W 58th St, Suite A, Los Angeles, CA 90037-3632 | 2006-08-21 |
| 1942808654 | Kaitlynn Menjo | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-10-14 |
| 1508471723 | Elizabeth Reyes | Social Worker | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-09-14 |
| 1639788185 | Gina Hyung-jin Kim | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-07-29 |
| 1578189262 | Laorence Wassom | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-06-18 |
| 1780210807 | Jesica Viviana Cardiel | Counselor | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-20 |
| 1184250144 | Vernica Neche Foots | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-20 |
| 1528694957 | Audra Wong | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-17 |
| 1558996579 | Natalie Drorbaugh | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-10 |
| 1083248942 | Carly Rose Devirian | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
| 1407329766 | Lucidite Sleep Laboratory & Treatment Center Inc | Clinic/Center | 231 W Vernon Ave. Suite 108, Los Angeles, CA 90037 | 2019-01-09 |
| 1013491505 | Nancy Sandoval | Social Worker | 644 W 42nd Place, Los Angeles, CA 90037 | 2018-09-20 |
| 1932603081 | Adam Wiswell | Psychologist | 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 | 2018-03-22 |
| 1548764392 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1000 W. 50th St, Los Angeles, CA 90037 | 2018-03-19 |
| 1134637150 | Tamayo Inc & Lascoe Inc Dental Partnership | Dentist | 4400 S Broadway Ste #103, Los Angeles, CA 90037 | 2018-01-11 |
| 1295282283 | Catherine Azzopardi | Social Worker | 4601 S Broadway, Los Angeles, CA 90037 | 2016-09-07 |
| 1619423266 | Esmeralda Garcia | Dietitian, Registered | 808 W. 58th Street, 2nd Floor, Los Angeles, CA 90037 | 2016-09-01 |
| 1225405921 | Sophan Cheng | Nurse Practitioner | 808 W. 58th Street, Los Angeles, CA 90037 | 2015-08-28 |
| Find all providers in zip 90037 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1528672110 | Christopher Tria Coronel | Nurse Practitioner | 3435 Garden Ave, Los Angeles, CA 90039-1919 | 2020-09-01 |
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1548884216 | En Route Medical Staffing LLC | Nurse Practitioner | 3705 W Pico Blvd Ste 1714, Los Angeles, CA 90019-3451 | 2020-05-29 |
| 1922621432 | Latasha Tracy Warren | Nurse Practitioner | 1720 N Fuller Ave Apt 450, Los Angeles, CA 90046-3076 | 2020-05-19 |
| 1578184966 | Shin Il Kim | Nurse Practitioner | 450 Bauchet St Fl 8, Los Angeles, CA 90012-2907 | 2020-04-27 |
| 1457971160 | Karen Kim-chang | Nurse Practitioner | 450 Bauchet St Rm E815, Los Angeles, CA 90012-2907 | 2020-04-22 |
| 1912534033 | Anthony Felipe Banuelos Villa | Nurse Practitioner | 3437 Ellison St, Los Angeles, CA 90063-1901 | 2020-03-26 |
| 1629605506 | Ana Yely Nunez Nunez | Nurse Practitioner | 6017 Miramonte Blvd, Los Angeles, CA 90001-1327 | 2020-03-23 |
| 1154957769 | Maybel Deguzman Dumlao | Nurse Practitioner | 4371 Stewart Ave, Los Angeles, CA 90066-6133 | 2020-03-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90037 |
Please comment or provide details below to improve the information on IZUNNA VINCENT EWUDO.
| 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.