Ezirim, Rita N
Ezirim, Rita N is an sole proprietor health care provider with primary practice located at 1100 N State St , Los Angeles CA 90033-5000. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ezirim, Rita N can be contacted via phone (323) 409-7729.Contact Information
Primary practice address
1100 N State St
Los Angeles CA 90033-5000
Phone: (323) 409-7729
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 788781 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95010739 | California |
Profile Details
| NPI number | 1639573462 |
|---|---|
| LBN Legal business name | Ezirim, Rita N |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2014 |
| Last updated | Mar 22nd, 2019 - about 7 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 | 1639573462 | NPPES |
| California | MEDICAID | 1639573462 |
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