MEDICARE: PALOMA WOMEN'S CLINIC AND MEDICAL CENTER, NURSING P.C

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
1	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	681341	CA
2	363LF0000X	Family Nurse Practitioner	681341	CA

General Provider Information

NPI Number	:	1922390996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALOMA WOMEN'S CLINIC AND MEDICAL CENTER, NURSING P.C

Provider Business Mailing Address
First Line	:	2670 E GAGE AVE STE 4
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-4176
Country	:	US
Telephone Number	:	323-588-2005
Fax Number	:	323-588-2004

Provider Business Practice Location Address
First Line	:	2670 E GAGE AVE STE 4
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-4176
Country	:	US
Telephone Number	:	323-588-2005
Fax Number	:	323-588-2004

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LARISA ZABOKRITSKAYA
Credential	:	FNP
Telephone Number	:	310-940-2001

Provider Enumeration Date	:	05/10/2011
Last Update Date	:	05/10/2011

Similar Medicare Providers

1194802496 — MRS. DAKSHA ARVIND AMIN DDS
Practice Location Address:

2670 E GAGE AVE , SUITE #3
HUNTINGTON PARK, CA
90255-4176

Practice Phone: 323-581-9486
Practice Fax: 323-581-9476

1790996122 — DR. JUDITH CANNON PHD
Practice Location Address:

7682 JULIETTE LOW DR
HUNTINGTON BEACH, CA
92647-4176

Practice Phone: 214-728-9557
Practice Fax:

1023953551 — ALMAZ RX, CORP.
Practice Location Address:

9508 65TH RD
REGO PARK, NY
11374-4176

Practice Phone: 917-846-5990
Practice Fax:

1316551500 — WINSLOW YOUNG APRN, FNP-C
Practice Location Address:

15000 PARK ROW APT 937
HOUSTON, TX
77084-4176

Practice Phone: 917-805-5942
Practice Fax:

1568338663 — AUREVIA MEDICAL LLC
Practice Location Address:

640 PARK AVE
HOBOKEN, NJ
07030-4176

Practice Phone: 201-275-3698
Practice Fax: 919-443-1034

1427991082 — KOUESSEU AND ASSOCIATES.INC
Practice Location Address:

2864 E FLORENCE AVE STE 101&102
HUNTINGTON PARK, CA
90255-5749

Practice Phone: 424-376-7211
Practice Fax:

Directions to “PALOMA WOMEN'S CLINIC AND MEDICAL CENTER, NURSING P.C ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.