Individual
MRS. EDEN B DABALUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2321 ROSECRANS AVE STE 5200-46, EL SEGUNDO, CA 90245-4903
(213) 537-6956
Mailing address
2321 ROSECRANS AVE STE 5200, EL SEGUNDO, CA 90245-4936
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95008189
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95008189
CA
Other
Enumeration date
01/15/2018
Last updated
04/24/2026
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