Miss Eileen Xiomara Granados, is a
Rehabilitation Practitioner based in Huntington Park, California. Miss Eileen Xiomara Granados is licensed to practice in * (Not Available) (license number ) and her current practice location is
2633 E 57th St, Huntington Park, California. She can be reached at her office (for appointments etc.) via phone at
(323) 348-2586.
NPI number for Miss Eileen Xiomara Granados is 1366717175 and her current mailing address is 2633 E 57th St, Huntington Park, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366717175.
Healthcare Provider's Profile
| Full Name | Miss Eileen Xiomara Granados |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 2633 E 57th St, Huntington Park, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1366717175
- Provider Enumeration Date: 03/12/2012
- Last Update Date: 03/13/2012
Medical Identifiers
Medical identifiers for Miss Eileen Xiomara Granados such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366717175 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Eileen Xiomara Granados is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Eileen Xiomara Granados,
2633 E 57th St,
Huntington Park, CA 90255-2522
Ph: (323) 348-2586 | Miss Eileen Xiomara Granados,
2633 E 57th St,
Huntington Park, CA 90255-2522
Ph: (323) 348-2586 |
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