THERESA WONG EJADA RN NPI 1861964074

NPI Information

NPI: 1861964074
Provider Name: THERESA WONG EJADA, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
150 W ROUTE 66
GLENDORA, CA
ZIP 91740
Phone: (626) 852-5000
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Theresa Wong Ejada, RN is a psychiatric/mental health registered nurse in Glendora, CA. Theresa Wong Ejada, RN NPI is 1861964074. 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:

150 W ROUTE 66
GLENDORA, CA
ZIP 91740-207
Phone: (626) 852-5000

The enumeration date for this NPI number is 12/28/2018 and was last updated on 12/28/2018.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	678494	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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