Healthcare Provider Details

I. General information

NPI: 1609535434
Provider Name (Legal Business Name): EKINADOESE MEDINA SALAMI MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2021
Last Update Date: 06/27/2025
Certification Date: 12/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9449 IMPERIAL HWY
DOWNEY CA
90242-2814
US

IV. Provider business mailing address

9242 SONGFEST DR
DOWNEY CA
90240-2543
US

V. Phone/Fax

Practice location:
  • Phone: 562-657-2751
  • Fax:
Mailing address:
  • Phone: 310-906-8906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number662828
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WX1500X
TaxonomyOstomy Care Registered Nurse
License Number662828
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number662828
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number662828
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: