Early Sates Enterprises, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

0002584492-0001-0 Issued in CA

Legal business name

EARLY SATES ENTERPRISES, LLC

Practice address

11972 Wood Ranch Rd
Granada Hills, CA 91344-2150

Phone

(310) 382-4852

NPI assigned

Feb 26, 2014

Organization subpart

No

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

Authorized official

Name

Wendy Carroll

Title

Program Director

Phone

(310) 382-4852

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1477978443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11972 WOOD RANCH RD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11972 WOOD RANCH RD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442150",
            "telephone_number": "310-382-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY SATES ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "310-382-4852"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "0002584492-0002-8",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "0002584492-0001-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribel Munguia Dugas, LCSW, CIMHP
• Cecilia Duran, BA
• Colleen Ann Duran
• Paul Duran, MD
• Itzel Dzul Hernandez, RD
• Heather Glenn Eaton, LMFT
• Arineh Ebrahimi
• Azadeh Ebrahimi
• Ed & Ar Hospice Care, Inc
• Noreen Egurbide

• Early Intervention Provider Agency in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.