MARIA LOURDES CABULA


Address: 2807 W Avenue 30, Los Angeles, CA 90065-1303
Phone: 2132654106

MARIA LOURDES CABULA (NPI# 1477037828) 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) 1477037828
Entity Type Individual
Full Name MARIA LOURDES CABULA
Credential NP
Practice Address 2807 W Avenue 30
Los Angeles
CA 90065-1303
Practice Telephone 2132654106
Mailing Telephone 2132654106
Enumeration Date 2018-09-21
Last Update Date 2018-09-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
676767 CA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA AANP F09180155 01

Office Location

Street Address 2807 W AVENUE 30
City LOS ANGELES
State CA
Zip Code 90065-1303

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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90065

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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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