E Kulubya MD,P.C

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

G54189 Issued in CA

Legal business name

E KULUBYA MD,P.C

Practice address

3220 Thatcher Ave
Marina del Rey, CA 90292-5556

Phone

(714) 234-7485

NPI assigned

Oct 2, 2014

Last updated

Oct 2, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edwin Samuel Kulubya, M.DNPI 1922027218

Title

Owner

Phone

(714) 234-7485

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edwin Samuel Kulubya, M. D.

  • Pain Medicine Physician
  • Long Beach, CA
  • NPI 1922027218
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1316340425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 THATCHER AVE",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925556",
            "telephone_number": "714-234-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 THATCHER AVE",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925556",
            "telephone_number": "714-234-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E KULUBYA MD,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "KULUBYA",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-234-7485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "G54189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Veronica Isabel Dyer, LCSW
• Edgar Allan R Musngi, M.D. Inc.
• Edward Carden MD Inc
• Edward Carden, MD, Inc.
• Edward S. Akkaway, M.D (Edward S. Akkaway, M.D., A Professional Medical Corp.)
• Eleby R. Washington III MD PC

• Pain Clinic/Center in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.