Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EPISOURCE LLC
Deactivated OrganizationEPISOURCE LLC is a Nurse Practitioner organization located in GARDENA, California. NPI 1225390289 is deactivated in the NPPES registry. Verify at CMS.
Nurse Practitioner · GARDENA, CA
This NPI has been deactivated.
The record was deactivated on December 14, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1225390289
- Provider Type
- Organization
- NPI Issued
- Jun 14, 2012 (10.501369863014 yrs)
- Last Updated
- Feb 7, 2023
- Deactivated
- Dec 14, 2022
Practice Information
- Address
-
500 W 190TH ST4TH FLOORGARDENA, CA, 902484268Browse CA providers · Browse ZIP 90248
- Phone
- 7144521961
- Fax
- 7144521966
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Organizations in GARDENA, CA
| Name | NPI |
|---|---|
| HERITAGE HEALTH AND WELLNESS NP INC | 1356119903 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.