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NPI Code Detail

MEDICARE: NAOMI GEDION NP

MEDICARE: NAOMI GEDION 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
1163W00000XRegistered NurseRN535228CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497791222
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI GEDION NP
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD
Second Line : SUITE 400
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 UCLA MEDICAL PLZ STE 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-7000
Country : US
Telephone Number : 310-481-7545
Fax Number : 310-794-9035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 12/18/2019

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