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Breidi A. Calloway, NP
Nurse Practitioner in Los Angeles, California
NPI 1710281233

Breidi A. Calloway is a Nurse Practitioner based in Los Angeles, CA. Breidi A. Calloway practices in Los Angeles, CA and has the professional credentials of NP. The NPI Number for Breidi A. Calloway is 1710281233 and holds a License No. 18343 (California).

The current practice location address for Breidi A. Calloway is 1441 Eastlake Ave, Los Angeles, CA and can be reached out via phone at 323-865-3105 and via fax at 323-865-0061.

Location: 1441 Eastlake Ave, Los Angeles, CA, 90031-0309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710281233
Provider Name
Breidi A. Calloway
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1441 Eastlake Ave, Los Angeles, CA, 90031-0309
Phone Number
323-865-3105
Fax Number
323-865-0061
Provider Enumeration Date
12/23/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W18762 01 CA GROUP MEDICARE
1902846306 01 CA GROUP NPI
GR0100430 01 CA GROUP MEDICAL
institution
Provider Business Practice Location Address Details
Address
1441 Eastlake Ave
City
Los Angeles
State
California
Zip
90089-0112
Phone Number
323-865-3105
Fax Number
323-865-0061
person
Provider Business Mailing Address Details
Address
1441 Eastlake Ave
City
Los Angeles
State
California
Zip
90089-0112
Phone Number
323-865-3105
Fax Number
323-865-0061
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
18343 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oncology
Taxonomy
261QX0200X
License No.
18343 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
18343 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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