Provider Demographics
NPI:1477849982
Name:CAMBAY, ELIZA LIM (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ELIZA
Middle Name:LIM
Last Name:CAMBAY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23451 MADISON ST
Mailing Address - Street 2:SUITE 290
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4763
Mailing Address - Country:US
Mailing Address - Phone:310-375-1246
Mailing Address - Fax:310-802-6077
Practice Address - Street 1:23451 MADISON ST
Practice Address - Street 2:SUITE 290
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4763
Practice Address - Country:US
Practice Address - Phone:310-375-1246
Practice Address - Fax:310-802-6077
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20386363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20386OtherBOARD OF REGISTERED NURSING--NURSE PRACTITIONER
CA75281OtherBOARD OF REGISTERED NURSING--PUBLIC HEALTH NURSE
CA687910OtherBOARD OF REGISTERED NURSING--REGISTERED NURSE
CA2010013955OtherFNP-BC