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NPI Code Detail

MEDICARE: ELOM NURSING PRACTITIONERS INC

MEDICARE: ELOM NURSING PRACTITIONERS INC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1982568762
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELOM NURSING PRACTITIONERS INC
Provider Business Mailing Address
First Line : 400 CORPORATE POINTE STE 300
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-7620
Country : US
Telephone Number : 323-412-9966
Fax Number :
Provider Business Practice Location Address
First Line : 400 CORPORATE POINTE STE 300
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-7620
Country : US
Telephone Number : 323-412-9966
Fax Number :
Authorized Official
Title or Position : CEO
Name : ANNE WINFREY
Credential :
Telephone Number : 323-412-9966
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ELOM NURSING PRACTITIONERS INC ” Practice Location

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