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

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.D

Title

Owner

Phone

(714) 234-7485

Specialties & licenses 1

Addresses

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": []
}

• Angelica Duenas, M.D.
• Dura Group
• Sophia Dvorkina, MS.SPED,
• DW Management Enterprises Inc.
• Veronica Isabel Dyer, LCSW
• Edgar Allan R Musngi, M.D. Inc.
• Edward Carden MD Inc
• Edward Carden, MD, Inc.
• Edward S. Akkaway, M.D
• 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.