ELSIE AMA ENNIN MD
NPI 1891376711
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is Elsie Ennin's NPI number?

The NPI number for Elsie Ennin is 1891376711. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Q: What is Elsie Ennin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Elsie Ennin was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 21, 2021PECOS Enrolled

1200 N STATE STREET CLINIC TOWER, A7D, LOS ANGELES, CA 90033(323) 409-7556 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 30, 2024, Apr 21, 2021 (2 updates tracked since 2021).

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About Elsie Ama Ennin Md NPPES

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

ELSIE AMA ENNIN MD (NPI 1891376711) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891376711

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameELSIE AMA ENNINCredential: MD

Location Address1200 N STATE STREET CLINIC TOWER, A7DLos Angeles, CA 90033-1029

Mailing Address1200 North State Street Clinic Tower, Suite A7dLos Angeles, CA 90033-1029 · (323) 409-7556

Phone(323) 409-7556

Sole ProprietorNo

Enumeration DateApril 21, 2021

Last NPPES UpdateApril 30, 20242 updates tracked since enumeration

NPPES CertifiedMarch 25, 2021

✔ NPI 1891376711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1200 N STATE STREET CLINIC TOWER, Los Angeles, CA 90033

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elsie Ama Ennin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

LINDA HUANG

Student in an Organized Health Care Education/Training Program