Edobor, Clara

Edobor, Clara is an individual health care provider with primary practice located at 1500 W West Covina Pkwy , West Covina CA 91790-2708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Edobor, Clara can be contacted via phone (626) 430-9996.

Contact Information

Primary practice address
1500 W West Covina Pkwy West Covina CA 91790-2708
Phone: (626) 430-9996
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP13063 California

Profile Details

NPI number 1477561496
LBN Legal business name Edobor, Clara
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Apr 28th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477561496 NPPES
California MEDICAID RN524986
California MEDICAID NP13063

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