Organization
A&E PROFESSIONAL MEDICAL GROUP AND NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDEN DABALUS NP (SECRETARY)
(310) 848-8865
Entity
Organization
Contact information
Practice address
6816 PACIFIC BLVD STE 210, HUNTINGTON PARK, CA 90255-4654
(818) 754-7986
Mailing address
6816 PACIFIC BLVD, SUITE 210, HUNTINGTON PARK,, CA 90255-4654
(818) 754-7986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
08/03/2022
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