CARLY ROSE DEVIRIAN


Address: 808 W 58th St, Los Angeles, CA 90037-3632
Phone: 3235411411

CARLY ROSE DEVIRIAN (NPI# 1083248942) 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) 1083248942
Entity Type Individual
Full Name CARLY ROSE DEVIRIAN
Practice Address 808 W 58th St
Los Angeles
CA 90037-3632
Practice Telephone 3235411411
Mailing Telephone 3105608570
Enumeration Date 2020-02-28
Last Update Date 2020-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
95013513 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 808 W 58TH ST
City LOS ANGELES
State CA
Zip Code 90037-3632

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356457550 Adrienne L Hurley Physician Assistant 808 W 58th St, Suite A, Los Angeles, CA 90037-3632 2006-08-21
1942808654 Kaitlynn Menjo Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-10-14
1508471723 Elizabeth Reyes Social Worker 808 W 58th St, Los Angeles, CA 90037-3632 2020-09-14
1639788185 Gina Hyung-jin Kim Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-07-29
1578189262 Laorence Wassom Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-06-18
1780210807 Jesica Viviana Cardiel Counselor 808 W 58th St, Los Angeles, CA 90037-3632 2020-03-20
1184250144 Vernica Neche Foots Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-03-20
1528694957 Audra Wong Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-03-17
1558996579 Natalie Drorbaugh Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-03-10
1508498148 Joselyn Diaz Physician Assistant 808 W 58th St, Los Angeles, CA 90037-3632 2020-02-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871119701 Carina Lizette Guerra Nurse Practitioner St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 2020-06-16
1114556263 Arm 4 Arm Foundation Clinic/Center 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 2020-04-01
1407329766 Lucidite Sleep Laboratory & Treatment Center Inc Clinic/Center 231 W Vernon Ave. Suite 108, Los Angeles, CA 90037 2019-01-09
1013491505 Nancy Sandoval Social Worker 644 W 42nd Place, Los Angeles, CA 90037 2018-09-20
1932603081 Adam Wiswell Psychologist 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 2018-03-22
1548764392 St. John's Well Child and Family Center, Inc. Clinic/Center 1000 W. 50th St, Los Angeles, CA 90037 2018-03-19
1134637150 Tamayo Inc & Lascoe Inc Dental Partnership Dentist 4400 S Broadway Ste #103, Los Angeles, CA 90037 2018-01-11
1295282283 Catherine Azzopardi Social Worker 4601 S Broadway, Los Angeles, CA 90037 2016-09-07
1619423266 Esmeralda Garcia Dietitian, Registered 808 W. 58th Street, 2nd Floor, Los Angeles, CA 90037 2016-09-01
1225405921 Sophan Cheng Nurse Practitioner 808 W. 58th Street, Los Angeles, CA 90037 2015-08-28
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083260087 Liezl Ann Bobila Bautista Nurse Practitioner 3317 Bagley Ave Apt 6, Los Angeles, CA 90034-2866 2019-08-15
1780155085 Amy Parker Nurse Practitioner 1160 N Westmoreland Ave, Los Angeles, CA 90029-1909 2018-12-12
1285100172 Kellie Ann Loera Nurse Practitioner 4650 W Sunset Blvd # Ms, Los Angeles, CA 90027-6062 2018-10-17
1629553649 Jamie Duly Nurse Practitioner 4650 W Sunset Blvd # 66, Los Angeles, CA 90027-6062 2018-09-25
1942788047 Annie Lee Thomson Nurse Practitioner 757 Westwood Plz Rm 5411, Los Angeles, CA 90095-8358 2018-07-31
1205347739 Carrie Locken Collins Nurse Practitioner 4650 W Sunset Blvd # 170, Los Angeles, CA 90027-6062 2017-10-24
1053821553 Kimberly Brooke Adams Nurse Practitioner 3131 Bagley Ave Apt 7, Los Angeles, CA 90034-2931 2017-10-10
1013360213 Kelly Barth Nurse Practitioner 1880 Century Park E, Suite 425, Los Angeles, CA 90067-1600 2016-07-22
1003261272 Laura Elvira Espinosa Nurse Practitioner 2831 Vaquero Ave, Los Angeles, CA 90032-3008 2016-04-25
1689059016 Sandra Moon Nurse Practitioner 3810 Wilshire Blvd Apt 2211, #2211, Los Angeles, CA 90010-3230 2015-07-27
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Competitor

Search similar providers

City LOS ANGELES
Zip Code 90037

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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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