Zion Care Services | |
879 W 190th St Ste 400 Gardena CA 90248-4223 | |
(310) 748-8242 | |
Not Available |
Full Name | Zion Care Services |
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Speciality | Community/Behavioral Health |
Location | 879 W 190th St Ste 400, Gardena, California |
Authorized Official Name and Position | Nkonye Ezeobah (ADMINISTRATOR) |
Authorized Official Contact | 3107488242 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Zion Care Services Po Box 2501 Gardena CA 90247-0501 Ph: (310) 748-8242 | Zion Care Services 879 W 190th St Ste 400 Gardena CA 90248-4223 Ph: (310) 748-8242 |
NPI Number | 1477300648 |
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Provider Enumeration Date | 05/04/2024 |
Last Update Date | 05/04/2024 |
Certification Date | 05/04/2024 |
Medicare PECOS PAC ID | 3678013703 |
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Medicare Enrollment ID | O20240904002511 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477300648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Nkorrye Ezeobah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689706699 PECOS PAC ID: 2365704251 Enrollment ID: I20180312001779 |
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