Individual
EILEEN MARGOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2525 GRAND AVE, LONG BEACH, CA 90815-1765
(562) 570-4272
Mailing address
2525 GRAND AVE, LONG BEACH, CA 90815-1765
(562) 570-4272
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
516727
CA
163WC1500X
Community Health Registered Nurse
516727
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
REGISTERED NURSE
CA
Enumeration date
03/08/2010
Last updated
09/07/2023
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