Nurse Practitioner, Obstetrics & Gynecology
GRACE EBENUWA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164629697 · enumerated 2007-06-28 · record updated 2007-07-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1731 STEARNS DR, LOS ANGELES, CA, 90035-4627 Google Maps Apple Maps OpenStreetMap
- Practice location 12021 WILMINGTON AVE, LOS ANGELES, CA, 90059-3019 (310) 668-4506 Fax (310) 763-8909 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Obstetrics & Gynecology 363LX0001X · Primary · License RN401793 CA
In this directory
CA Los Angeles County Los Angeles Nurse Practitioner, Obstetrics & Gynecology
Locations and evidence
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Practice location
LOS ANGELES, CA, 900593019
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.