Wonder Edem
Student in an Organized Health Care Education/Training Program in Harbor City, CA. Individual provider (NPI-1).
Details
- NPI
- 1760142889
- Entity type
- Individual (NPI-1)
- Name
- Wonder Edem
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2021
- Certification date
- Mar 31, 2024
- Last updated
- Mar 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
1403 Lomita Blvd Ste 200Harbor City, CA 90710-2086
Phone 310-602-2550 · Fax 310-326-7205
Mailing address
1403 Lomita Blvd Ste 200Harbor City, CA 90710-2086
Phone 310-602-2550 · Fax 310-826-7205
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 37 Student in an Organized Health Care Education/Training Program providers in Harbor City · All 1,089 providers in Harbor City
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