MS. MIALYNE IBAY HIPOLITO


Address: 7428 Bothwell Road., Reseda, CA 91335
Phone: 3107330901

MS. MIALYNE IBAY HIPOLITO (NPI# 1841689817) 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) 1841689817
Entity Type Individual
Full Name MS. MIALYNE IBAY HIPOLITO
Credential RN REGISTERED NURSE
Practice Address 7428 Bothwell Road.
Reseda
CA 91335
Mailing Address 7428 Bothwell Road
Reseda
CA 91335
Practice Telephone 3107330901
Mailing Telephone 3107330901
Enumeration Date 2015-01-14
Last Update Date 2015-01-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
RNCA587630 CA Nursing Service Providers

Office Location

Street Address 7428 BOTHWELL ROAD.
City RESEDA
State CA
Zip Code 91335

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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City RESEDA
Zip Code 91335

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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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