A&E PROFESSIONAL MEDICAL GROUP AND NURSING CORPORATION
NPI 1750017422
Nurse Practitioner in Huntington Park, CA

Q: What is A&e Professional Medical Group And Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 26, 2022

6816 PACIFIC BLVD STE 210, HUNTINGTON PARK, CA 90255(818) 754-7986 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2022, Jul 26, 2022 (2 updates tracked since 2022).

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About A&e Professional Medical Group And Nursing Corporation NPPES

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

A&E PROFESSIONAL MEDICAL GROUP AND NURSING CORPORATION (NPI 1750017422) is a healthcare organization registered as a nurse practitioner in Huntington Park, California and active in the NPI registry since July 2022. The organization lists Eden Dabalus, Secretary, as its authorized official.

NPPES Registry Identity

NPI1750017422

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameA&E PROFESSIONAL MEDICAL GROUP AND NURSING CORPORATION

Location Address6816 PACIFIC BLVD STE 210Huntington Park, CA 90255-4654

Mailing Address6816 Pacific Blvd, Suite 210Huntington Park,, CA 90255-4654 · (818) 754-7986

Phone(818) 754-7986

Organization SubpartNo

Authorized OfficialEden DabalusSecretary · (310) 848-8865

Enumeration DateJuly 26, 2022

Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration

NPPES CertifiedAugust 3, 2022

✔ NPI 1750017422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6816 PACIFIC BLVD STE 210, Huntington Park, CA 90255

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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 2

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

DAOPHASOUK CHANNITA MARKOVICH FNP

Nurse Practitioner (Family)

6816 PACIFIC BLVD STE 210
HUNTINGTON PARK, CA 90255

Los Angeles County (714) 779-8329

ARMANDO CANLAS

Nurse Practitioner

6816 PACIFIC BLVD STE 210
HUNTINGTON PARK, CA 90255

Los Angeles County (818) 754-7986

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 A&e Professional Medical Group And Nursing Corporation's NPI number?

The NPI number for A&e Professional Medical Group And Nursing Corporation is 1750017422. It was assigned to this organization in the NPPES registry on July 26, 2022.

Where is A&e Professional Medical Group And Nursing Corporation located?

A&e Professional Medical Group And Nursing Corporation is located at 6816 Pacific Blvd Ste 210, Huntington Park, CA 90255. The listed phone number is (818) 754-7986.

What is A&e Professional Medical Group And Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for A&e Professional Medical Group And Nursing Corporation was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.