Ebora Guest Home

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

EBORA GUEST HOME

Practice address

355 S Kingsley Dr
Los Angeles, CA 90020-3409

Phone

(213) 739-0908

Fax

(213) 389-3240

NPI assigned

May 19, 2007

Last updated

Aug 22, 2020By 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

Effie Ebora

Title

Licensee

Phone

(213) 739-0908

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528276730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S HARVARD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044303",
            "telephone_number": "213-739-0908",
            "fax_number": "213-389-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S KINGSLEY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203409",
            "telephone_number": "213-739-0908",
            "fax_number": "213-389-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBORA GUEST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EBORA",
        "authorized_official_first_name": "EFFIE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "213-739-0908"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebi Nikjoo DDS Inc
• Victoria Ebiana, M.D.
• Payam Ebizadeh, MD
• Rita Oby Ebo
• Ebony Group Incorporated
• Deborah Ebrahemi
• Nahrin Veronica Ebrahimi
• Nima Ebrahimi, D.D.S.
• Ramin Ebrahimi, MD
• Sasha Ebrahimi, MD PHD

• Intellectual Disabilities Intermediate Care Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.