Healthcare Provider Details

I. General information

NPI: 1568788669
Provider Name (Legal Business Name): BARBARA ELLEN HABELL PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2010
Last Update Date: 01/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 S FLOWER ST ORTHOPAEDIC HOSPITAL
LOS ANGELES CA
90007-2629
US

IV. Provider business mailing address

2400 S FLOWER ST ORTHOPAEDIC HOSPITAL
LOS ANGELES CA
90007-2629
US

V. Phone/Fax

Practice location:
  • Phone: 213-741-8371
  • Fax: 213-742-1435
Mailing address:
  • Phone: 213-741-8371
  • Fax: 213-742-1435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number640642
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: