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2275 E Mariposa Ave El Segundo CA 90245-5029 | |
| (310) 426-6000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 2275 E Mariposa Ave, El Segundo, California |
| Authorized Official Name and Position | Raven Shenette Mayes (DOCTOR OF OPTOMETRY) |
| Authorized Official Contact | 3527928069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2275 E Mariposa Ave El Segundo CA 90245-5029 Ph: (310) 426-6000 | 2275 E Mariposa Ave El Segundo CA 90245-5029 Ph: (310) 426-6000 |
| NPI Number | 1639632763 |
|---|---|
| Provider Enumeration Date | 04/06/2019 |
| Last Update Date | 04/16/2021 |
| Certification Date | 04/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639632763 | NPI | - | NPPES |
| 3791208-11-15-2012 | Other | DC | CARDIAC RHYTHMS: SINUS RHYTHMS (NURSING) |
| 3812493-06-19-2013 | Other | DC | GOVERNMENT ETHICS - THE ESSENTIALS |
| 8585-10-05-2011 | Other | DC | HIV/AIDS: AVOIDING INFECTION |
| 1333994-10-04-2011 | Other | DC | MAND: EMERGENCY MANAGEMENT PLAN |
| 1337035-10-04-2011 | Other | DC | IMPAIRED PROFESSIONALS |
| 1339073-10-05-2011 | Other | DC | BLS (BASIC LIFE SUPPORT) HEALTHCARE PROVIDER COURSE |
| 3782242-10-17-2013 | Other | DC | PROTECTING AGAINST BLOODBORNE PATHOGENS NURSING |
| 3832153-10-31-2012 | Other | DC | FIT TESTING |
| 7318-10-04-2011 | Other | DC | COMPLIANCE AND BUSINESS INTEGRITY (CBI) AWARENESS MANDATORY EDUCATION COURSE |
| 1324114-10-05-2011 | Other | DC | VISN 8 DIVERSITY TRAINING |
| 11754-10-18-2013 | Other | DC | PATIENT LEGAL RIGHTS, PROTECTION FROM ABUSE NURSE AIDE NURSE ASSISTANT |
| 8872-10-05-2011 | Other | DC | PREVENTION OF WORKPLACE HARASSMENT/NO FEAR |
| 1337011-10-17-2013 | Other | DC | DOMESTIC VIOLENCE FBN2285 |
| 1337015-10-17-2013 | Other | DC | PREVENTION OF MEDICAL ERRORS |
| 1339075-10-05-2011 | Other | DC | BLS (BASIC LIFE SUPPORT) HEALTHCARE PROVIDER RENEWAL TRAINING |
| 8586-12-05-2011 | Other | DC | HIV/AIDS: GENERAL INFORMATION |
| 1333993-01-12-2012 | Other | DC | MAND: CULTURALLY COMPETENT HEALTH CARE |
| 3813340-11-15-2012 | Other | DC | CARDIAC RHYTHMS: ATRIAL RHYTHMS (NURSING) |
| 1324101-10-05-2011 | Other | DC | VISN 8 CULTURAL COMPETENCY |
| 1333999-01-12-2012 | Other | DC | MAND: FIRE AND SAFETY |
| 1334002-01-12-2012 | Other | DC | MAND: INFECTION CONTROL |
| 1337016-10-04-2011 | Other | DC | PAIN FBN2285 |
| 1337018-10-04-2011 | Other | DC | REDUCING PATIENT FALLS FBN2285 |
| 3822819-12-07-2012 | Other | DC | CARDIAC RHYTHMS: JUNCTIONAL RHYTHMS (NURSING) |
| 021779-7928069 | Other | DC | THERAPEUTIC IMPAIRED PROFESSIONAL AWARENESS PROVIDER |
| 10176-10-05-2011 | Other | DC | VA PRIVACY AND INFORMATION SECURITY AWARENESS AND RULES OF BEHAVIOR |
| 1333992-01-12-2012 | Other | DC | MAND: ALTERNATE DISPUTE RESOLUTION |
| 3131988-11-15-2012 | Other | DC | LIFE-THREATENING ARRHYTHMIAS: EVENTS (NURSING) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
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