Provider Demographics
NPI:1265054647
Name:OVADIA, ESTHER (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:
Last Name:OVADIA
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 RONCAL ST
Mailing Address - Street 2:
Mailing Address - City:RANCHO MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92694-1802
Mailing Address - Country:US
Mailing Address - Phone:949-899-2127
Mailing Address - Fax:949-429-7060
Practice Address - Street 1:3 RONCAL ST
Practice Address - Street 2:
Practice Address - City:RANCHO MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92694-1802
Practice Address - Country:US
Practice Address - Phone:949-899-2127
Practice Address - Fax:949-429-7060
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-08
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA287867163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management