Elisabeth Cederblom (NPI# 1144301177, PAC ID# 6103986567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144301177 |
| PAC ID by PECOS | 6103986567 |
| Professional Enrollment ID | I20081115000198 |
| Full Name | Elisabeth Cederblom |
| Organization Legal Name | VENICE FAMILY CLINIC |
| Address |
604 Rose Ave Venice CA 90291-2767 |
| Phone Number | 3106647901 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2264339126 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 604 Rose Ave, Venice, CA 90291-2767 | 3106647901 | VENICE FAMILY CLINIC |
| Organization Legal Name | VENICE FAMILY CLINIC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Katherine Gohs | Nurse Practitioner | Venice Family Clinic | 4700 Inglewood Blvd, Suite 102, Culver City, CA 90230-5896 |
| La Chune Price | Physician Assistant | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Karen W Jenne | Nurse Practitioner | Venice Family Clinic | 2509 Pico Blvd, Santa Monica, CA 90405-1828 |
| Barbara F Grotts | Nurse Practitioner | Venice Family Clinic | 905 Venice Blvd, Venice, CA 90291-4904 |
| Coley M King | Family Medicine | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Suzanne E Parra | Nurse Practitioner | Venice Family Clinic | 4700 Inglewood Blvd, Suite 102, Culver City, CA 90230-5896 |
| Jessica A Stroik | Family Medicine | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Ernest Ortiz Jr. | Physician Assistant | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Nicole Fanelli | Nurse Practitioner | Venice Family Clinic | 4700 Inglewood Blvd, Suite 102, Culver City, CA 90230-5896 |
| Valerie R Aguilar | Physician Assistant | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Street Address |
604 ROSE AVE |
| City | VENICE |
| State | CA |
| Zip | 90291-2767 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| La Chune Price | Physician Assistant | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Coley M King | Family Medicine | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Jessica A Stroik | Family Medicine | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Ernest Ortiz Jr. | Physician Assistant | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Valerie R Aguilar | Physician Assistant | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| David J Solomon | Family Medicine | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Margarita Loeza | Family Medicine | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Blanca Andres | Family Medicine | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Carrie L Kowalski | Physician Assistant | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Karen C Lamp | Internal Medicine | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet Chaidez | Nurse Practitioner | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Ebony N Funches | Nurse Practitioner | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Charles C Huynh | Internal Medicine | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Lilian E Ore | Family Medicine | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Despina G Kayichian | Infectious Disease | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Christina M Cady | Physician Assistant | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Athanasia N Kakoyannis | Family Medicine | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Gilmore S Chung | Internal Medicine | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Maria J Enriquez | Clinical Social Worker | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Kimberly Grueneisen | Family Practice | Venice Family Clinic | 604 Rose Ave, Venice, CA 90291-2767 |
| Find all physicians in zip 90291 | |||
| City | VENICE |
| Zip Code | 90291 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | VENICE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Elisabeth Cederblom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.