Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lydia Owuor

Individual provider Rehabilitation Practitioner · NPI 1700080744

Lydia Owuor is a Nurse Practitioner in Los Angeles, California. Qualified in 2022, 4 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

2500 Wilshire Blvd Ste 500
Los Angeles, CA 90057-4310
Phone: (213) 639-0242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95023366 (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1700080744
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 13, 2007
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ehab Yacoub Md Inc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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