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NPI Code Detail

MEDICARE: ELEANOR ROSAPAPAN RIDDLE

MEDICARE: ELEANOR ROSAPAPAN RIDDLE
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
1363LF0000XFamily Nurse Practitioner95038047CA

General Provider Information

NPI Number : 1942153952
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELEANOR ROSAPAPAN RIDDLE
Provider Business Mailing Address
First Line : 13227 ISIS AVE
Second Line :
City : HAWTHORNE
State : CA
Zip : 90250-4935
Country : US
Telephone Number : 323-893-0989
Fax Number :
Provider Business Practice Location Address
First Line : 1350 CHESTNUT AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-2945
Country : US
Telephone Number : 562-599-1565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 03/10/2026

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Directions to “ ELEANOR ROSAPAPAN RIDDLE ” Practice Location

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