Esaenwi, Tambari Nulog
Esaenwi, Tambari Nulog is an individual health care provider with primary practice located at 4618 Fountain Ave , Los Angeles CA 90029-1977. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Esaenwi, Tambari Nulog can be contacted via phone (323) 953-7170.Contact Information
Primary practice address
4618 Fountain Ave
Los Angeles CA 90029-1977
Phone: (323) 953-7170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 461352 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 8465 | California |
Profile Details
| NPI number | 1619021466 |
|---|---|
| LBN Legal business name | Esaenwi, Tambari Nulog |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Feb 25th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619021466 | NPPES |
| California | MEDICAID | RN461352 |
Popular Providers
-
Caldwell, Emily Helen
1245 Wilshire Blvd Suite 703, Los Angeles CA 90017-4807 -
Easley, Ann Christine
5901 W Olympic Blvd 500, Los Angeles CA 90036-4667 -
Luong, Ming Jacqueline
4448 York Blvd , Los Angeles CA 90041-3328 -
Medina, Juanito
1401 S Grand Ave Emergency Department, Los Angeles CA 90015-3010 -
Green, Stacey D
200 Ucla Medical Plz Ste 120 , Los Angeles CA 90095-1835 -
Nemec, Constance Diane
11301 Wilshire Blvd Bldg 217. Rm 136, Los Angeles CA 90073-1003 -
Steller, Julie
1441 Eastlake Ave Ste 3444 , Los Angeles CA 90089-2907 -
Tikosky, Jing Huang
4618 Fountain Ave , Los Angeles CA 90029-1977