En Route Medical Staffing LLC
Nurse Practitioner (Family)

Address: 3705 W Pico Blvd Ste 1714, Los Angeles, CA 90019-3451
Phone: 3106514279

En Route Medical Staffing LLC (NPI# 1548884216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1548884216
Entity Type Organization
Organization Name EN ROUTE MEDICAL STAFFING LLC
Practice Address 3705 W Pico Blvd Ste 1714
Los Angeles
CA 90019-3451
Practice Telephone 3106514279
Mailing Address 3705 W Pico Blvd Ste 1714
Los Angeles
CA 90019-3451
Mailing Telephone 3106514279
Authorized Official Name Jason Calloway (OWNER)
Authorized Official Telephone 3106514279
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-05-29
Last Update Date 2020-05-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

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Office Location

Street Address 3705 W PICO BLVD STE 1714
City LOS ANGELES
State CA
Zip Code 90019-3451

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1285158154 Vanessa A. Myrie Social Worker 5562 Packard St., Los Angeles, CA 90019 2017-08-01
1093241309 Hamburger Home Community/Behavioral Health 4066 W. 17th Street, Los Angeles, CA 90019 2017-05-05
1639614779 Jung Ho Kang Acupuncturist 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 2016-12-28
1912353491 Sung Won Lee Acupuncturist 4027 W. Pico Bl., Los Angeles, CA 90019 2016-05-13
1497188528 Sfvcmhc Community/Behavioral Health 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 2013-08-13
1467890160 Denise Breheny Lactation Consultant, Non-RN 1053 Carmona Ave., Los Angeles, CA 90019 2013-06-05
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Competitor

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City LOS ANGELES
Zip Code 90019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.