Healthcare Provider Details

I. General information

NPI: 1891983433
Provider Name (Legal Business Name): YVONNE RUTH ENGLISH RNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 10/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12321 HAWTHORNE BLVD
HAWTHORNE CA
90250-3840
US

IV. Provider business mailing address

4158 GARTHWAITE AVE
LOS ANGELES CA
90008-3835
US

V. Phone/Fax

Practice location:
  • Phone: 310-263-1400
  • Fax: 310-263-1418
Mailing address:
  • Phone: 323-294-2539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number12004
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number12004
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: