MEDICARE: MS. EILEEN LINDA ZIFF RN, NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	301335	CA

General Provider Information

NPI Number	:	1144356478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EILEEN LINDA ZIFF RN, NP

Provider Business Mailing Address
First Line	:	1045 24TH ST
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4527
Country	:	US
Telephone Number	:	310-829-5116
Fax Number	:	310-268-4493

Provider Business Practice Location Address
First Line	:	11301 WILSHIRE BLVD
Second Line	:	111 BLDG 500 RM 3057
City	:	LOS ANGELES
State	:	CA
Zip	:	90073-1003
Country	:	US
Telephone Number	:	310-478-3711
Fax Number	:	310-268-4493

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	07/08/2007

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