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Eunice Im, NP
Gerontology Nurse Practitioner in Los Angeles, California
NPI 1922383892

Eunice Im is a Gerontology Nurse Practitioner based in Los Angeles, CA and is specialized in Gerontology. Eunice Im practices in Los Angeles, CA and has the professional credentials of NP. The NPI Number for Eunice Im is 1922383892 and holds a License No. 20789 (California).

The current practice location address for Eunice Im is 8110 Airport Blvd, Los Angeles, CA and can be reached out via phone at 310-674-0144 and via fax at 310-674-1704.

Location: 8110 Airport Blvd, Los Angeles, CA, 90045-3119
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Provider Profile Details
NPI Number
1922383892
Provider Name
Eunice Im
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
8110 Airport Blvd, Los Angeles, CA, 90045-3119
Phone Number
310-674-0144
Fax Number
310-674-1704
Provider Enumeration Date
10/11/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20789 01 CA CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
8110 Airport Blvd
City
State
Zip
90045-3119
Phone Number
310-674-0144
Fax Number
310-674-1704
person
Provider Business Mailing Address Details
Address
8110 Airport Blvd
City
State
Zip
90045-3119
Phone Number
310-674-0144
Fax Number
310-674-1704
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
20789 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
20789 (California)
Definition
Definition to come...
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