LKPRESS-OTR (NPI# 1003215617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003215617 |
| Entity Type | Organization |
| Organization Name | LKPRESS-OTR |
| Practice Address |
1216 N Brand Blvd Apt 6 Glendale CA 91202-1947 |
| Practice Telephone | 6617141455 |
| Mailing Telephone | 6617141455 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Authorized Official Name | MS. WENDY L KELLER (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 6617141455 |
| Authorized Official Credential | MA, MCM, OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 252Y00000X | Early Intervention Provider Agency | 10496 | CA | Agencies |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 174400000X | Specialist | 10496 | CA | Other Service Providers |
| Street Address |
1216 N BRAND BLVD APT 6 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538857 | Forever Active Cbas | Clinic/Center | 1111 W Glenoaks Blvd, Glendale, CA 91202 | 2018-11-29 |
| 1144724436 | Kristine Bustos | Nurse Practitioner | 1200 N Pacific Ave Ste 104, Glendale, CA 91202 | 2018-03-21 |
| 1295159614 | Kevin Lew | Dentist | 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 | 2014-02-05 |
| 1568709350 | Helen Chalakians | Counselor | 525 Glenwood Rd, Glendale, CA 91202 | 2013-01-14 |
| 1316216161 | Teresa Eligio | Nurse Practitioner | 857 Grant Ave, Glendale, CA 91202 | 2011-12-23 |
| 1033486139 | Advance Hospice Care, Inc. | Home Health | 1209 N. Central Ave Suite 204, Glendale, CA 91202 | 2011-11-18 |
| 1659518785 | Sarine Davityan | Marriage & Family Therapist | 1010 N Central Ave # 310, Glendale, CA 91202 | 2009-01-12 |
| 1760635619 | Tatiana Mikaelian Dds Inc | Dentist | 1209 N. Central Ave, #203, Glendale, CA 91202 | 2008-10-23 |
| 1669624219 | Marine Demirjian | Allergy & Immunology | 1131 N Pacific Ave, Glendale, CA 91202 | 2008-10-15 |
| 1902055783 | Lousine Vahagn Kirakosian | Dentist | 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 | 2008-09-16 |
| Find all providers in zip 91202 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467981506 | Joni Sue Cox | Specialist | 6975 W Irma Ln, Glendale, AZ 85308-9477 | 2017-06-11 |
| 1649708496 | Jennie Fisher | Specialist | 9050 Union Tpke Apt 6j, Glendale, NY 11385-8064 | 2017-05-24 |
| 1396113577 | Crystal Genereux | Specialist | 5301 W Desert Hills Dr, Glendale, AZ 85304-2701 | 2015-09-04 |
| 1144600057 | Alicia Delgado | Specialist | 68-29 64th Place, Glendale, NY 11385 | 2015-06-05 |
| 1881081438 | Ifetayo Khalila Blissett | Specialist | 7618 69th Pl, 5e, Glendale, NY 11385-7134 | 2015-04-22 |
| 1912392598 | Bridgit Berthen | Specialist | 7131 66th St, Glendale, NY 11385-7065 | 2015-04-01 |
| 1366835241 | Rumena Begum | Specialist | 7444 64th Pl, Glendale, NY 11385-6135 | 2015-03-16 |
| 1669870572 | Kamila E Jaskowiak | Specialist | 6049 75th Ave, 2nd Fl, Glendale, NY 11385-6168 | 2014-12-08 |
| 1770986325 | Gloria Pineda | Specialist | 7108 72nd Pl, Glendale, NY 11385-7337 | 2014-09-26 |
| 1457764268 | Shannon Victoria Martinez | Specialist | 7818 81st St, Glendale, NY 11385-7633 | 2014-06-09 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.