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GRACE EBENUWA
NPI 1164629697
Nurse Practitioner - Obstetrics & Gynecology in Los Angeles, CA

Active since June 28, 2007
12021 WILMINGTON AVE, LOS ANGELES, CA 90059(310) 668-4506(310) 763-8909 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Ebenuwa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE EBENUWA (NPI 1164629697) is an individual obstetrics & gynecology provider in Los Angeles, California, licensed in California (RN401793) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1164629697
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameGRACE EBENUWA
Location Address12021 WILMINGTON AVELos Angeles, CA 90059-3019
Mailing Address1731 Stearns DrLos Angeles, CA 90035-4627
Phone(310) 668-4506
Fax(310) 763-8909
Sole ProprietorNo
Enumeration DateJune 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164629697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in CA · RN401793
12021 WILMINGTON AVE, Los Angeles, CA 90059
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARC D LEVY MD
Otolaryngology
12021 WILMINGTON AVE, DEPT OF OTOLARYNGOLOGY
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4536
TINA M ROBINSON PA
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
PEGGY ANNA DANIELS CADCII
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (818) 996-1051
BRANDON DORFMAN
Day Training/Habilitation Specialist
12021 WILMINGTON AVE, BUILDING 18 SUITE 4D
LOS ANGELES, CA 90059
Los Angeles County (626) 425-1305
DR. KEITH NORRIS MD
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
MS. ZAHRA YAZDANI PA-C
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
DR. LATANIA SCI M.D.
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (702) 326-8726
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Ebenuwa's NPI number?

The NPI number for Grace Ebenuwa is 1164629697. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Grace Ebenuwa located?

Grace Ebenuwa practices at 12021 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (310) 668-4506.

What is Grace Ebenuwa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Grace Ebenuwa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.