# EPISOURCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225390289
- **Authorized official:** MR. SISHIR REDDY (CEO)
- **Authorized official phone:** (714) 452-1962

## Contact information

- **Practice address:** 500 W 190TH ST, 4TH FLOOR, GARDENA, CA 90248-4268
- **Practice address phone:** (714) 452-1961
- **Practice address fax:** (714) 452-1966
- **Mailing address:** 500 W 190TH ST, 4TH FLOOR, GARDENA, CA 90248-4268
- **Mailing address phone:** (714) 452-1961
- **Mailing address fax:** (714) 452-1966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2012
- **Last updated:** 02/07/2023