Maria Gultom
Internist - Cardiovascular Disease Nurse Practitioner - Acute Care
100 Ucla Medical Plz Ste 630
Los Angeles
, California 90024-6997
Maria Gultom
Internist - Cardiovascular Disease Nurse Practitioner - Acute Care
100 Ucla Medical Plz Ste 630
Los Angeles
, California 90024-6997
(310) 267-9536
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Maria Gultom
- 5767 W Century Blvd Ste 400
- Los Angeles, CA
- Zip : 90045-5631
- Phone : (310) 267-9536
Second Address
- Maria Gultom
- 100 Ucla Medical Plz Ste 630
- Los Angeles, CA
- Zip : 90024-6997
- Phone : (310) 794-1276
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 95002729 | CA |
| N | 363LA2100X | Nurse Practitioner - Acute Care | 95002729 | CA |
National Provider Identifier
| NPI | 1013391358 |
|---|---|
| Provider Name | Maria Gultom |
| First Address | Los Angeles, CA 90045-5631 |
| Second Address | Los Angeles, CA 90024-6997 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2015 |
| Last Update Date | 07/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.