| Provider / Organization | NPI | Date Certified |
|---|---|---|
| EDEN ELIZABETH ALTWIES | 1639831332 | 2023-03-28 |
Eden Elizabeth Altwies is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1639831332. Registration indicates Eden Elizabeth Altwies is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Eden Elizabeth Altwies |
| Practice Office Address | 757 WESTWOOD PLZ STE 7501 LOS ANGELES, CA US |
| Practice Office Telephone | 3108257375 |
| Practice Office Fax | 3102673595 |
| Mailing Address | 757 WESTWOOD PLZ STE 7501 LOS ANGELES, CA 900958358 US |
| Business Telephone | 3108257375 |
| Business Fax | 3102673595 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |