Provider Demographics
NPI:1144356478
Name:ZIFF, EILEEN LINDA (RN, NP)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:LINDA
Last Name:ZIFF
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 24TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-4527
Mailing Address - Country:US
Mailing Address - Phone:310-829-5116
Mailing Address - Fax:310-268-4493
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:111 BLDG 500 RM 3057
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-478-3711
Practice Address - Fax:310-268-4493
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA301335363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care