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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639573462 NPPES
California MEDICAID 1639573462

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