ANDREA KRULAC (NPI# 1013128370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
811 N CATALINA AVE 200 |
City | REDONDO BEACH |
State | CA |
Zip Code | 90277-2133 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
Find all providers in zip 90277 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
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 |
Find all providers in REDONDO BEACH |
City | REDONDO BEACH |
Zip Code | 90277 |
Please comment or provide details below to improve the information on ANDREA KRULAC.
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.