Rufina Ehimezele Akporavbare

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Loma Linda, CA

NPI 1306423967 · NPPES record last updated Oct 15, 2021

Key facts

NPI
1306423967
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
11201 Benton St
Loma Linda, CA 92357-4974
Phone
(800) 741-8387
NPI assigned
Mar 28, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

11201 Benton St
Loma Linda, CA 92357-4974

Mailing address

11201 Benton St
Loma Linda, CA 92357-4974
Phone (800) 741-8387

Other providers in Loma Linda, CA

All providers in Loma Linda, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.