LILLIE D DICKINSON


Address: 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824
Phone: 3109453350

LILLIE D DICKINSON (NPI# 1063902914) 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) 1063902914
Entity Type Individual
Full Name LILLIE D DICKINSON
Credential LPT
Practice Address 9808 Venice Blvd Ste 700
Culver City
CA 90232-6824
Practice Telephone 3109453350
Practice Fax Number 3109453356
Mailing Telephone 3109453350
Mailing Fax Number 3109453356
Enumeration Date 2018-05-16
Last Update Date 2019-05-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician LPT28237 CA Nursing Service Providers

Office Location

Street Address 9808 VENICE BLVD STE 700
City CULVER CITY
State CA
Zip Code 90232-6824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073698932 Steven M Kilmann Physical Medicine & Rehabilitation 9808 Venice Blvd Ste 700, Culver City, CA 90232 2006-10-26
1104427327 Santa Pineda Licensed Vocational Nurse 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 2020-11-04
1740881978 Chastity Tillman Rehabilitation Practitioner 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 2020-11-04
1255930566 Stephanie Cordon-morales Rehabilitation Practitioner 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 2020-10-19
1154929503 Alyssa Areeprachapirom Registered Nurse 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 2020-10-16
1477160711 Rossmery Salgado Rehabilitation Practitioner 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 2020-09-30
1801403340 Zoltan Jely Licensed Vocational Nurse 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 2020-09-29
1619584554 Mayra Alexandria Garcia Student in an Organized Health Care Education/Training Program 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 2020-09-24
1871109090 Cindy Hernandez Student in an Organized Health Care Education/Training Program 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 2020-09-22
1932715281 Chioma Igbokwe-dinneya Registered Nurse 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 2020-09-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306328430 Kayla Brass Physical Therapist 11056 Washington Blvd Suite C, Culver City, CA 90232 2018-09-05
1861911265 Caitlyn Handy Social Worker 4194 Duquesne Ave, Apt 2, Culver City, CA 90232 2017-09-17
1639695109 Ashlyn Herrian Student in an Organized Health Care Education/Training Program 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 2017-08-16
1922522911 Kendra Lopez Rehabilitation Practitioner 9808 Venice Blvd Suite 700, Culver City, CA 90232 2017-08-01
1740677335 Michelle Adams Psychologist 10866 Washington Blvd #718, Culver City, CA 90232 2015-04-21
1164814976 Alexander Gersh Speech-Language Pathologist 3844 Culver Ctr Ste B, Culver City, CA 90232 2015-03-03
1497161145 Anila Ladak Nurse Practitioner 3828 Delmos Ter, Southern California Hospital At Culver City, Culver City, CA 90232 2014-07-02
1235554908 Rochelle Skinner Dds Dental Corporation Dentist 9702 Venice Blvd, Suite B, Culver City, CA 90232 2014-03-04
1316361173 Krisena Borenstein Dentist 10811 Washington Blvd. Suite #200, Culver City, CA 90232 2014-02-13
1154689925 Lawrence S Levy Physical Therapist 11479 Jefferson Blvd, Culver City, CA 90232 2012-04-30
Find all providers in zip 90232

Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972119212 Ruth Jurado Licensed Psychiatric Technician 9808 Venice Blvd, Culver City, CA 90232-2732 2020-09-22
1689297624 Rebecca D Cruz Licensed Psychiatric Technician 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 2020-05-26
1386291524 Christopher Gray Licensed Psychiatric Technician 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 2019-08-22
1689142879 Robert Quero Bayani Licensed Psychiatric Technician 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 2018-11-06
1942706460 Brittany Payne Licensed Psychiatric Technician 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 2018-04-03
1124482047 Tiffany Forte Licensed Psychiatric Technician 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 2016-04-06
1306206941 Kimberley Harris Licensed Psychiatric Technician 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 2016-02-24
1801273081 Madalyn Ngo Licensed Psychiatric Technician 9808 Venice Blvd, Culver City, CA 90232 2015-04-27
1013315332 Naol Gutta Licensed Psychiatric Technician 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 2014-12-18
1134535271 Esparancita Jose Licensed Psychiatric Technician 9808 Venice Blvd, Suite 700, Culver City, CA 90232-2732 2014-07-09
Find all providers in CULVER CITY

Competitor

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City CULVER CITY
Zip Code 90232

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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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