Edilberto Adaya

Individual provider Active NPI Registered Nurse · Downey, CA

NPI 1619780079 · NPPES record last updated Jan 29, 2025

Key facts

NPI
1619780079
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
815239 (CA)
Practice address
7601 Imperial Hwy
Downey, CA 90242-3456
Phone
(562) 385-7111
NPI assigned
Jan 29, 2025
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
815239CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 815239 CA Yes

Addresses

Primary practice location

7601 Imperial Hwy
Downey, CA 90242-3456

Mailing address

7601 Imperial Hwy
Downey, CA 90242-3456
Phone (562) 385-7111

Other providers in Downey, CA

All providers in Downey, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.