Healthcare Provider Details

I. General information

NPI: 1831523539
Provider Name (Legal Business Name): ERIN CAMRON N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2013
Last Update Date: 08/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 WILSHIRE BLVD
LOS ANGELES CA
90017-1901
US

IV. Provider business mailing address

1225 WILSHIRE BLVD
LOS ANGELES CA
90017-1901
US

V. Phone/Fax

Practice location:
  • Phone: 213-977-2423
  • Fax: 213-202-7028
Mailing address:
  • Phone: 213-977-2423
  • Fax: 213-202-7028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number736078
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number23578
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: