ANDREA KRULAC


Address: 811 N Catalina Ave, 200, Redondo Beach, CA 90277-2133
Phone: 3107981914

ANDREA KRULAC (NPI# 1013128370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013128370
Entity Type Individual
Full Name ANDREA KRULAC
Practice Address 811 N Catalina Ave
200
Redondo Beach
CA 90277-2133
Mailing Address Po Box 3531
Redondo Beach
CA 90277-1531
Practice Telephone 3107981914
Practice Fax Number 3103762748
Mailing Telephone 3107981914
Mailing Fax Number 3103762748
Enumeration Date 2007-05-25
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
100786 CA Speech, Language and Hearing Service Providers

Office Location

Street Address 811 N CATALINA AVE
200
City REDONDO BEACH
State CA
Zip Code 90277-2133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104810464 Karen Lynne Parry Chiropractor 811 N Catalina Ave, Suite 2312, Redondo Beach, CA 90277-2133 2005-09-01
1699986372 Medwest Orthopedics Inc Durable Medical Equipment & Medical Supplies 811 N Catalina Ave, Suite 200, Redondo Beach, CA 90277-2133 2007-05-24

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1376033860 Lisa Ann Graziano Marriage & Family Therapist 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 2018-05-10
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134674344 Renee Almanza Specialist/Technologist 1907 Grant Ave, #1, Redondo Beach, CA 90278-3532 2016-08-17
1023642295 Kevyne Marie Dantes Specialist/Technologist 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 2020-02-26
1437799129 Kelly Nicole Genberg Specialist/Technologist 2850 Artesia Blvd, Redondo Beach, CA 90278-3419 2020-01-09
1750928933 Mercedes Cristina Mendoza Specialist/Technologist 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 2019-12-05
1568007599 Amber M Piercey Specialist/Technologist 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 2019-11-13
1134761596 Tamisha Shawndis Tague Specialist/Technologist 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 2019-10-16
1639722432 Brenda Flores Davalos Specialist/Technologist 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 2019-07-20
1851954937 Amanda Akens Specialist/Technologist 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 2019-04-15
1760955579 Bejani Turley Specialist/Technologist 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 2019-01-03
1295200996 Shannon Woodland Specialist/Technologist 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 2018-10-09
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Competitor

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City REDONDO BEACH
Zip Code 90277

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Dataset Information

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.

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