EDEN HEALTH MEDICAL OF CALIFORNIA PC
NPI 1174106694
Internal Medicine in Los Angeles, CA

Q: What is Eden Health Medical Of California PC's NPI number?

The NPI number for Eden Health Medical Of California PC is 1174106694. It was assigned to this organization in the NPPES registry on May 3, 2021.

Q: What is Eden Health Medical Of California PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 03, 2021

4470 W SUNSET BLVD, LOS ANGELES, CA 90027(917) 261-4414 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2024, Jun 22, 2023, Apr 14, 2023 and 2 more (5 updates tracked since 2021).

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About Eden Health Medical Of California Pc NPPES

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

EDEN HEALTH MEDICAL OF CALIFORNIA PC (NPI 1174106694) is a healthcare organization registered as an internal medicine in Los Angeles, California and active in the NPI registry since May 2021. The organization maintains a secondary practice location in Buffalo and lists Donald Wayne Jenkins, President, as its authorized official.

NPPES Registry Identity

NPI1174106694

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameEDEN HEALTH MEDICAL OF CALIFORNIA PC

Location Address4470 W SUNSET BLVDLos Angeles, CA 90027-6302

Mailing Address77 Goodell St Ste 510Buffalo, NY 14203-1258

Phone(917) 261-4414

Organization SubpartNo

Authorized OfficialDonald Wayne JenkinsPresident · (917) 261-4414

Enumeration DateMay 3, 2021

Last NPPES UpdateSeptember 13, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1174106694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedPhysical TherapistTaxonomy 225100000X

4470 W SUNSET BLVD, Los Angeles, CA 90027

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Secondary Practice Location 1

Location 177 Goodell St Ste 510Buffalo, NY 14203-1258 · Phone (917) 261-4414

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

KARINE LILA JOHANNES MSW

Social Worker (Clinical)

4470 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (213) 326-6117

IRMA GONZALEZ LMFT

Marriage & Family Therapist

4470 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 645-1954

GLOBAL MEDICAL NETWORK, INC

Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)

4470 W SUNSET BLVD, STE 374
LOS ANGELES, CA 90027

Los Angeles County (213) 613-1137

MS. CANDACE J GESNER MA, LMFT

Marriage & Family Therapist

4470 W SUNSET BLVD, BOX 280
LOS ANGELES, CA 90027

Los Angeles County (323) 229-9517

DANIEL CHANDLER PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

4470 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 205-7088

MRS. APRIL MARIE BODILY RN, PMHNP-BC, FNP-C

Nurse Practitioner (Psychiatric/Mental Health)

4470 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 205-7088

JANELLE PIGNOTTI

Social Worker (Clinical)

4470 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (386) 801-4526

DR. HUDAD TOLLOUI PSYD

Psychologist (Clinical)

4470 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 968-6182

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 Eden Health Medical Of California PC's NPI number?

The NPI number for Eden Health Medical Of California PC is 1174106694. It was assigned to this organization in the NPPES registry on May 3, 2021.

Where is Eden Health Medical Of California PC located?

Eden Health Medical Of California PC is located at 4470 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (917) 261-4414.

What is Eden Health Medical Of California PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Eden Health Medical Of California PC was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.