THERESA NILSON HENKE (NPI# 1053636977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053636977 |
| Entity Type | Individual |
| Full Name | THERESA NILSON HENKE |
| Practice Address |
8635 W 3rd St Ste 1195w Los Angeles CA 90048-6146 |
| Mailing Address |
904 7th Ave Seattle WA 98104-1132 |
| Practice Telephone | 8664238661 |
| Mailing Telephone | 2068602308 |
| Mailing Fax Number | 2068602215 |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A121297 | CA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD60668555 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 904 7th Ave, Seattle, WA 981041132 | 2068602308 | 2068602215 |
| Street Address |
8635 W 3RD ST STE 1195W |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-6146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639477136 | Behnoud Beroukhim | Internal Medicine | 8635 W 3rd St Ste 1195w, Los Angeles, CA 90048-6146 | 2011-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619452869 | Kristel Padua Dongallo | Internal Medicine | 1701 Cesar Chavez Ave., Suite 536, Los Angeles, CA 90033 | 2018-10-03 |
| 1487033353 | Los Angeles Kidney Center, A Professional Medical Corporation | Internal Medicine | 1717 Malcolm Ave, Ph 1, Los Angeles, CA 90024-6824 | 2015-05-26 |
| 1841639622 | Anthony Sebastian Montuno | Internal Medicine | 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 | 2013-06-14 |
| 1013351790 | Hong Thi Thanh Dang | Internal Medicine | 4733 W. Sunset Blvd 3rd Floor, Kaiser Permanente Southern California, Los Angeles, CA 90027 | 2013-04-24 |
| 1548574056 | La Familia Medical Group, Inc. | Internal Medicine | 6433 Whittier Blvd, Los Angeles, CA 90022-4627 | 2010-07-27 |
| 1790014090 | Hira L Jindal M D Inc | Internal Medicine | 711 W College St Ste 590, Los Angeles, CA 90012-1256 | 2009-12-15 |
| 1619175718 | Huma Syeda Hasnain | Internal Medicine | 700 Tiverton Ave, 7-155 Factor Bldg, Los Angeles, CA 90095-8361 | 2007-07-10 |
| 1932237013 | Peter H. Lee | Internal Medicine | 4220 W 3rd St Ste 203, Los Angeles, CA 90020-3450 | 2007-03-01 |
| 1275668733 | Andrew Jay Lewin | Internal Medicine | 2010 Wilshire Blvd Ste 302, Los Angeles, CA 90057-3550 | 2007-02-23 |
| 1659416659 | Sunset Urgent Care Medical Center | Internal Medicine | 9201 Sunset Blvd 705, Los Angeles, CA 90069-3701 | 2007-02-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on THERESA NILSON HENKE.
| 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.