Provider Demographics
NPI:1750855862
Name:ENDEAVORS PRACTICE MANAGEMENT, INC.
Entity Type:Organization
Organization Name:ENDEAVORS PRACTICE MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP-C
Authorized Official - Prefix:
Authorized Official - First Name:GEMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGUIRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:818-812-9506
Mailing Address - Street 1:20246 SATICOY ST STE 201
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-4433
Mailing Address - Country:US
Mailing Address - Phone:818-812-9506
Mailing Address - Fax:818-812-9508
Practice Address - Street 1:20246 SATICOY ST STE 201
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-4433
Practice Address - Country:US
Practice Address - Phone:818-812-9506
Practice Address - Fax:818-812-9508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty