| Zion Care Services | |
|
879 W 190th St Ste 400 Gardena CA 90248-4223 | |
| (310) 748-8242 | |
| Not Available |
| Full Name | Zion Care Services |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/04/2024 |
| Last Update Date | 05/04/2024 |
| Certification Date | 05/04/2024 |
| Medicare PECOS PAC ID | 3678013703 |
|---|---|
| Medicare Enrollment ID | O20240904002511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477300648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Nkorrye Ezeobah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689706699 PECOS PAC ID: 2365704251 Enrollment ID: I20180312001779 |
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