LARISA CHUDNOVSKAYA (NPI# 1073059572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073059572 |
| Entity Type | Individual |
| Full Name | LARISA CHUDNOVSKAYA |
| Practice Address |
19750 S Vermont Ave Suite 140 Torrance CA 90502-1119 |
| Practice Telephone | 4242333700 |
| Mailing Telephone | 4242333700 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | RPE 11102 | CA | Student, Health Care |
| Street Address |
19750 S VERMONT AVE SUITE 140 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90502-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770727950 | Shannon O'brien | Occupational Therapist | 19750 S Vermont Ave, Suite 140, Torrance, CA 90502-1119 | 2009-05-01 |
| 1134777089 | Jessica Esmeralda Vigil-toldeo | Behavioral Analyst | 19750 S Vermont Ave, Torrance, CA 90502-1119 | 2019-09-03 |
| 1245716166 | Julie Anne Jordan | Behavioral Analyst | 19750 S Vermont Ave, Torrance, CA 90502-1119 | 2018-07-13 |
| 1467938373 | Michael Chao | Behavioral Analyst | 19750 S Vermont Ave, Torrance, CA 90502-1119 | 2018-07-13 |
| 1154853687 | Jessica Caffey | Behavioral Analyst | 19750 S Vermont Ave, Torrance, CA 90502-1119 | 2017-04-03 |
| 1295271484 | Mallory Viveros | Occupational Therapist | 19750 S Vermont Ave, Suite 140, Torrance, CA 90502-1119 | 2017-01-11 |
| 1982067690 | Stephanie Dote | Occupational Therapist | 19750 S Vermont Ave, Suite 140, Torrance, CA 90502-1119 | 2016-03-30 |
| 1316312986 | Akia Hardy | Counselor | 19750 S Vermont Ave, Torrance, CA 90502-1119 | 2015-12-08 |
| 1326384769 | Easter Seals Southern California, Inc | Behavioral Analyst | 19750 S Vermont Ave, Ste 140, Torrance, CA 90502-1119 | 2012-12-12 |
| 1578842456 | Julie Bowen | Speech-Language Pathologist | 19750 S Vermont Ave, Suite 140, Torrance, CA 90502 | 2011-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| Find all providers in zip 90502 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1205448669 | Jonathan Anhduy Tran | Student in an Organized Health Care Education/Training Program | 2461 W 230th Pl, Torrance, CA 90501-5206 | 2020-08-18 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1588289623 | Elizabeth Lopez Escobar | Student in an Organized Health Care Education/Training Program | 1626 W 209th St Apt 8, Torrance, CA 90501-1937 | 2020-06-15 |
| 1225665250 | Katherine Lee | Student in an Organized Health Care Education/Training Program | 1000 West Carson Street Main Hospital, 7 West, Torrance, CA 90509 | 2020-03-27 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1912490681 | Catherine Marie Peters | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Bldg D5.5, Torrance, CA 90502-2004 | 2018-06-07 |
| 1376040667 | Jenny Hung | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Fl 6, Torrance, CA 90502-2004 | 2018-04-12 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| Find all providers in TORRANCE | ||||
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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.