FENDEE MADAYAG ANSELMO NPI 1336797125

NPI Information

NPI: 1336797125
Provider Name: FENDEE MADAYAG ANSELMO
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
11845 W OLYMPIC BLVD STE 900W
LOS ANGELES, CA
ZIP 90064
Phone: (213) 296-3783
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Fendee Madayag Anselmo is a general practice registered nurse in Los Angeles, CA. Fendee Madayag Anselmo NPI is 1336797125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11845 W OLYMPIC BLVD STE 900W
LOS ANGELES, CA
ZIP 90064-086
Phone: (213) 296-3783

The enumeration date for this NPI number is 8/27/2019 and was last updated on 8/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	95142090	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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