Doctor Name: | EVANGELINE OJALES |
NPI Number: | 1023405081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | 95001553 |
Business Practice Address: | 1000 W Carson St # 6 Harbor Ucla Medical Center- Ophthalmology Clinic 2nd Fl Carson, CA - 908101408 |
Business Phone Number: | 3102222735 |
Business Fax Number: | |
Mailing Address: | 1000 W Carson St, Eye Clinic Box 6 CARSON |
State: | CA |
Postal Code: | 908101408 |
Phone Number: | 3102222735 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2015 |
NPI Last Update Date: | 05/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 95001553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |