Regents Of The University Of California Los Angeles | |
11303 W Washington Blvd Suite 100 Los Angeles CA 90066-6003 | |
(310) 391-7281 | |
Not Available |
Full Name | Regents Of The University Of California Los Angeles |
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Speciality | Psychiatry & Neurology |
Location | 11303 W Washington Blvd, Los Angeles, California |
Authorized Official Name and Position | Katherine Hale (FINANCE DIRECTOR) |
Authorized Official Contact | 3103015311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Regents Of The University Of California Los Angeles File 2939 Los Angeles CA 90074-2939 Ph: (310) 206-3500 | Regents Of The University Of California Los Angeles 11303 W Washington Blvd Suite 100 Los Angeles CA 90066-6003 Ph: (310) 391-7281 |
NPI Number | 1609194497 |
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Provider Enumeration Date | 05/04/2010 |
Last Update Date | 10/06/2020 |
Certification Date | 10/06/2020 |
Medicare PECOS PAC ID | 4587857727 |
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Medicare Enrollment ID | O20101020001402 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609194497 | NPI | - | NPPES |
1609194497 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Benjamin M Shapiro |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356447460 PECOS PAC ID: 3971584418 Enrollment ID: I20040528001014 |
Provider Name | Martina H Wiedau |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1528086824 PECOS PAC ID: 7618959040 Enrollment ID: I20040601001039 |
Provider Name | Doojin Kim |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1487679858 PECOS PAC ID: 4789666728 Enrollment ID: I20040603000917 |
Provider Name | Ravin Jain |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1649386558 PECOS PAC ID: 4082698576 Enrollment ID: I20040614000889 |
Provider Name | Christin Field |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1245201912 PECOS PAC ID: 6204816820 Enrollment ID: I20040723000693 |
Provider Name | Ming Guo |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1083639801 PECOS PAC ID: 6709820996 Enrollment ID: I20050617000999 |
Provider Name | Anna L Houterman |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1164637435 PECOS PAC ID: 6305937269 Enrollment ID: I20070807000198 |
Provider Name | Shamsha Velani Doran |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1508065947 PECOS PAC ID: 3678657251 Enrollment ID: I20080220000497 |
Provider Name | Lisa Little |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1154414944 PECOS PAC ID: 4981764537 Enrollment ID: I20081129000009 |
Provider Name | Gina Manogura Gracia |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1033375100 PECOS PAC ID: 3779633243 Enrollment ID: I20090604000446 |
Provider Name | Marcy F Borlik |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467667824 PECOS PAC ID: 6709937790 Enrollment ID: I20090702000538 |
Provider Name | Jodi C Ferro |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1285810762 PECOS PAC ID: 2769513134 Enrollment ID: I20100629000254 |
Provider Name | Benjamin Schneider |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1477783231 PECOS PAC ID: 0143406660 Enrollment ID: I20110518000489 |
Provider Name | Soo Yeon Kelly Kang |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508038415 PECOS PAC ID: 4587832019 Enrollment ID: I20110727000429 |
Provider Name | Nimmi Singh Kapoor |
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Provider Type | Practitioner - Surgical Oncology |
Provider Identifiers | NPI Number: 1437221611 PECOS PAC ID: 1951579358 Enrollment ID: I20110728000529 |
Provider Name | Christina M Hui |
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Provider Type | Practitioner - Geriatric Psychiatry |
Provider Identifiers | NPI Number: 1891992319 PECOS PAC ID: 6002089588 Enrollment ID: I20111027000821 |
Provider Name | Joshua Hyong-jin Cho |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1003043969 PECOS PAC ID: 7214199934 Enrollment ID: I20120425000644 |
Provider Name | Leena S Nathan |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1417170523 PECOS PAC ID: 1557523727 Enrollment ID: I20120504000091 |
Provider Name | Shirley M Kahenzadeh |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386843035 PECOS PAC ID: 1153587811 Enrollment ID: I20120724000736 |
Provider Name | Margaret M Adler |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1457518276 PECOS PAC ID: 6800031071 Enrollment ID: I20130612000408 |
Provider Name | Angela T Valle |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1720371545 PECOS PAC ID: 8820231277 Enrollment ID: I20130904000124 |
Provider Name | Dustin Z Deyoung |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346403953 PECOS PAC ID: 4183858525 Enrollment ID: I20131017001832 |
Provider Name | Ranoo Animesh Sabnis |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1790941110 PECOS PAC ID: 1052569530 Enrollment ID: I20131023000634 |
Provider Name | Carlen Eva Kim |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1215188693 PECOS PAC ID: 7911133004 Enrollment ID: I20131119002053 |
Provider Name | Zoe S Aron |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396952545 PECOS PAC ID: 4981830999 Enrollment ID: I20131122000092 |
Provider Name | Natalia Ramos |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1225396153 PECOS PAC ID: 8820228646 Enrollment ID: I20140224000023 |
Provider Name | Samantha Nicole Mckinney |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1972943694 PECOS PAC ID: 3870714959 Enrollment ID: I20141015001585 |
Provider Name | Mary Catherine Mayo |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1922326735 PECOS PAC ID: 3274754726 Enrollment ID: I20141025000007 |
Provider Name | Erin M Mellano |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1720240328 PECOS PAC ID: 2860718277 Enrollment ID: I20150303000015 |
Provider Name | Michael G Ho |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1013171834 PECOS PAC ID: 1557514627 Enrollment ID: I20150717002251 |
Provider Name | Kelly D Williams |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1275795874 PECOS PAC ID: 7214183805 Enrollment ID: I20150828001002 |
Provider Name | Carilyn H Sparks |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437443124 PECOS PAC ID: 3173839271 Enrollment ID: I20150904000084 |
Provider Name | Anise Zamora Noggle |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912326943 PECOS PAC ID: 0042509036 Enrollment ID: I20160513001822 |
Provider Name | Suzanne M Cambou |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1063855518 PECOS PAC ID: 7810287422 Enrollment ID: I20160609000697 |
Provider Name | Adam John Darby |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1376842898 PECOS PAC ID: 3375852643 Enrollment ID: I20170427001132 |
Provider Name | Anita Tipirneni |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1588923064 PECOS PAC ID: 2365719887 Enrollment ID: I20170602002334 |
Provider Name | Angeline Mae Jocson |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1225371081 PECOS PAC ID: 9133406655 Enrollment ID: I20170629002169 |
Provider Name | Beverly Ann Reader |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396937868 PECOS PAC ID: 6406913631 Enrollment ID: I20180619002900 |
Provider Name | Revana Lukman |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1104176668 PECOS PAC ID: 8729395751 Enrollment ID: I20180821003140 |
Provider Name | Katherine A Taylor |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1376823948 PECOS PAC ID: 6901158740 Enrollment ID: I20181005002775 |
Provider Name | Abby Uhrinak |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1528431673 PECOS PAC ID: 8123371440 Enrollment ID: I20181101003405 |
Provider Name | Hope Marian Vermaire |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578827077 PECOS PAC ID: 4981999521 Enrollment ID: I20181112000509 |
Provider Name | Paul Kim |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1588075857 PECOS PAC ID: 0244565042 Enrollment ID: I20190716003748 |
Provider Name | Nelli Akopyan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487136909 PECOS PAC ID: 2769817683 Enrollment ID: I20200122002057 |
Provider Name | Christie Beth Hall |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1649813379 PECOS PAC ID: 3779918552 Enrollment ID: I20200124001733 |
Provider Name | Nicole Anne Schussel |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1508255191 PECOS PAC ID: 1456786185 Enrollment ID: I20200127001062 |
Provider Name | Joan Helene Mcculloch |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1629612171 PECOS PAC ID: 0143655878 Enrollment ID: I20200127001198 |
Provider Name | Audrey Joan Realeza Cano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154987634 PECOS PAC ID: 2365871050 Enrollment ID: I20200331003633 |
Provider Name | Alexan Isahag Yerevanian |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1114301637 PECOS PAC ID: 1355772757 Enrollment ID: I20200520000433 |
Provider Name | Ashley Christine Benda |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1295129856 PECOS PAC ID: 4981908787 Enrollment ID: I20200611002270 |
Provider Name | Alis Davitovna Asatryan |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1407240831 PECOS PAC ID: 5991090714 Enrollment ID: I20200929001670 |
Provider Name | Margarita Maghtesyan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134726995 PECOS PAC ID: 9436579661 Enrollment ID: I20201008003398 |
Provider Name | Jooyeon Lee |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750765830 PECOS PAC ID: 5092047423 Enrollment ID: I20201014000875 |
Provider Name | Joss Cohen |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1235689332 PECOS PAC ID: 4587080072 Enrollment ID: I20210609001189 |
Provider Name | Megha Rajesh Patel |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1053842781 PECOS PAC ID: 4082049630 Enrollment ID: I20210622003547 |
Provider Name | Lauren Elizabeth Dowd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538613906 PECOS PAC ID: 4183014079 Enrollment ID: I20211208002348 |
Provider Name | Katherine Laura Widnell |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1295777100 PECOS PAC ID: 9830155639 Enrollment ID: I20220105000639 |
Provider Name | Kristin Lauren Simmons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073087193 PECOS PAC ID: 0840682878 Enrollment ID: I20220124002626 |
Provider Name | Molly Kate Isola |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1851738777 PECOS PAC ID: 0648527242 Enrollment ID: I20220331002715 |
Provider Name | Tatjana Josic |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578975637 PECOS PAC ID: 2567849961 Enrollment ID: I20220524000491 |
Provider Name | Terrence Yao Tian |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1073047544 PECOS PAC ID: 7810233871 Enrollment ID: I20220714000025 |
Provider Name | Kiana Shannon Teng |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1972099182 PECOS PAC ID: 0042691420 Enrollment ID: I20220715002244 |
Provider Name | Jennifer Ruth Rieger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275063687 PECOS PAC ID: 4183005580 Enrollment ID: I20220716000423 |
Provider Name | Naila Maniar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1659800753 PECOS PAC ID: 4587902515 Enrollment ID: I20220722001010 |
Provider Name | Cynthia Dang Nguyen |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1679078018 PECOS PAC ID: 5799034898 Enrollment ID: I20220924000216 |
Provider Name | Haley Marie Moser |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1902417298 PECOS PAC ID: 1355710096 Enrollment ID: I20221220000187 |
Provider Name | Danielle Nicole Eberle |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902288608 PECOS PAC ID: 1759749039 Enrollment ID: I20230619000676 |
Provider Name | Nkechinyere Anita Anyanwu Brodie |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1679014773 PECOS PAC ID: 5193183127 Enrollment ID: I20230622002436 |
Provider Name | Milad Sabouri |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1902301690 PECOS PAC ID: 3173919255 Enrollment ID: I20230720001764 |
Provider Name | Carmel Diamant |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1235698440 PECOS PAC ID: 8022343276 Enrollment ID: I20230726003714 |
Provider Name | Bindi A Nia |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1225551146 PECOS PAC ID: 4385026970 Enrollment ID: I20230727001778 |
Provider Name | Sarah Nena Falk |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1962906859 PECOS PAC ID: 3577924901 Enrollment ID: I20230802001270 |
Provider Name | Olivia Ceja |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396353264 PECOS PAC ID: 7810358041 Enrollment ID: I20230803001483 |
Provider Name | Rachael A. Krager Salin |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1235581398 PECOS PAC ID: 2860854759 Enrollment ID: I20230809001232 |
Provider Name | Christa Nicole Lizano |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861868267 PECOS PAC ID: 0547615536 Enrollment ID: I20231011001726 |
Provider Name | Mayano Ochi |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1356896492 PECOS PAC ID: 4284912627 Enrollment ID: I20231018003926 |
Provider Name | Elizabeth Olayinka Agboola |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1407451149 PECOS PAC ID: 7911311378 Enrollment ID: I20231115001133 |
Provider Name | Miguel Macias Torres |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073866356 PECOS PAC ID: 8729384441 Enrollment ID: I20231115002487 |
Provider Name | Kristina Marina Purganan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144454489 PECOS PAC ID: 3678710282 Enrollment ID: I20231116001450 |
Provider Name | Joshua P Cooper |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689716284 PECOS PAC ID: 7113378449 Enrollment ID: I20240110004330 |
Provider Name | Michelle Garcia |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1619451754 PECOS PAC ID: 2769834993 Enrollment ID: I20240123003688 |
Provider Name | Cynthia Lua |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1427588672 PECOS PAC ID: 7012360274 Enrollment ID: I20240124003185 |
Provider Name | Maribel Gonzalez |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1790160042 PECOS PAC ID: 4880047711 Enrollment ID: I20240126004186 |
Provider Name | Zinat Hashmy |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1902375793 PECOS PAC ID: 7012360795 Enrollment ID: I20240130000145 |
Provider Name | Stan S Kim |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1902935646 PECOS PAC ID: 2860845427 Enrollment ID: I20240130003388 |
Provider Name | Christie Joyce Nelson |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1639428758 PECOS PAC ID: 1355794926 Enrollment ID: I20240130003638 |
Provider Name | Sharon Bina |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1083731509 PECOS PAC ID: 1254784531 Enrollment ID: I20240202001889 |
Provider Name | Mary Johnson Neely |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386390862 PECOS PAC ID: 4789022203 Enrollment ID: I20240403002228 |
Provider Name | Alexis Remy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124730155 PECOS PAC ID: 1759720451 Enrollment ID: I20240415001229 |
Provider Name | Alejandra Muro |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548725583 PECOS PAC ID: 5193065811 Enrollment ID: I20240415001701 |
Emq Hollygrove Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N El Centro Ave, Los Angeles, CA 90038 Phone: 323-463-2119 Fax: 323-463-0619 | |
Peter Lorber, M.d., A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Wilshire Blvd, Suite 814, Los Angeles, CA 90017 Phone: 213-481-0592 | |
Satish S. Kadaba, M.d., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E 3rd St, Suite 102, Los Angeles, CA 90022 Phone: 323-264-6296 Fax: 323-264-6297 | |
Foundations Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd Ste 420, Los Angeles, CA 90064 Phone: 888-800-5761 Fax: 818-530-7808 | |
Pch Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066 Phone: 310-566-7625 Fax: 310-566-7629 | |
Haleh Eghrari Psychology Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1314 Westwood Blvd, Suite 206, Los Angeles, CA 90024 Phone: 310-441-9550 Fax: 310-234-2682 | |
Douglas L. Gosney Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2566 Overland Ave, Suite 780, Los Angeles, CA 90064 Phone: 310-202-9382 |