Provider Demographics
NPI:1609535434
Name:SALAMI, EKINADOESE MEDINA (MSN, NP-C)
Entity Type:Individual
Prefix:MS
First Name:EKINADOESE
Middle Name:MEDINA
Last Name:SALAMI
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9242 SONGFEST DR
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-2543
Mailing Address - Country:US
Mailing Address - Phone:310-906-8906
Mailing Address - Fax:
Practice Address - Street 1:9449 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2888
Practice Address - Country:US
Practice Address - Phone:562-657-2751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA662828163W00000X, 163WP2201X, 163WX1500X, 163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No163WX1500XNursing Service ProvidersRegistered NurseOstomy Care