DR. EASTER DAWN VO-JUTABHA


Address: 3711 Long Beach Blvd, Suite 500 and 600, Long Beach, CA 90807-3315
Phone: 5624852273

DR. EASTER DAWN VO-JUTABHA (NPI# 1093845810) 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) 1093845810
Entity Type Individual
Full Name DR. EASTER DAWN VO-JUTABHA
Credential PH.D.
Practice Address 3711 Long Beach Blvd
Suite 500 and 600
Long Beach
CA 90807-3315
Mailing Address 4335 Atlantic Ave
Long Beach
CA 90807-2803
Practice Telephone 5624852273
Mailing Telephone 3109444190
Enumeration Date 2007-03-07
Last Update Date 2013-04-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY21071 CA Behavioral Health & Social Service Providers

Office Location

Street Address 3711 LONG BEACH BLVD
SUITE 500 AND 600
City LONG BEACH
State CA
Zip Code 90807-3315

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NPI Name Taxonomy Address Enumeration
1366467334 Guy L Trimble Iv Chiropractor 3711 Long Beach Blvd, Ste. 200, Long Beach, CA 90807-3315 2006-07-12
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1659765279 Trimble & Tieu Chiropractic, Inc Chiropractor 3711 Long Beach Blvd, Suite 200, Long Beach, CA 90807-3315 2015-03-20
1538558168 Tiombe C Sewell Marriage & Family Therapist 3711 Long Beach Blvd, Suite 1016e, Long Beach, CA 90807-3315 2015-01-20
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1518360122 Jacqueline King Obstetrics & Gynecology 3711 Long Beach Blvd, Suite 700, Long Beach, CA 90807-3315 2014-09-27
1083013668 Boris Gelman Md, Inc. Anesthesiology 3711 Long Beach Blvd, Suite 905, Long Beach, CA 90807-3315 2014-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992359434 Kanna Lynn Curtis Behavioral Analyst 3491 Elm Avenue, Long Beach, CA 90807 2019-08-01
1891359394 David Smith Samuel Tchon Dds Inc Dentist 4231 Long Beach Blvd, Long Beach, CA 90807 2019-04-30
1477038354 Ryan Bacani Registered Nurse 4506 N Banner Drive Apt 3, Long Beach, CA 90807 2018-09-26
1508363516 Joemari Salvani Dentist 4578 Atlantic Avenue, Long Beach, CA 90807 2018-04-07
1881110096 Shafeeullah Hashim Gaines Counselor 4335 Altantic Ave, Long Beach, CA 90807 2017-08-18
1295259943 Debresia Jackson Community Health Worker 900 E. Wardlow Rd, Long Beach, CA 90807 2017-08-02
1073036315 United Mobile Rad LLC Radiologic Technologist 1720 E Cartagena St, Long Beach, CA 90807 2017-07-19
1336675800 La-pham and Kansagra Dental Corporation Dentist 4578 Atlantic Ave, Long Beach, CA 90807 2017-05-03
1114462637 Andunett Langhum Counselor 4335 Atlantic Blved, Long Beach, CA 90807 2016-12-20
1942742507 Mt Medical Transportation LLC Non-emergency Medical Transport (VAN) 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 2016-11-14
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275154791 Eric Houston Psychologist 3906 Hathaway Ave, Long Beach, CA 90815-5125 2020-05-06
1003448218 Julie Goalwin, Ph.d. A Psychological Corporation Psychologist 115 Pine Ave Ste 640, Long Beach, CA 90802-4452 2020-02-05
1730654401 Nicholas Brown Psychologist 5901 E. 7th Street (06/116b), Long Beach, CA 90822 2018-10-09
1194208983 Tiffany Danielle Sickler Psychologist 4201 Long Beach Blvd Ste 409, Long Beach, CA 90807-2022 2018-09-08
1639656036 Heights Wellness, Inc Psychologist 440 Redondo Ave Ste 104, Long Beach, CA 90814-5144 2018-07-27
1386168136 Shena Young Psychologist 404 East First St #1191, Long Beach, CA 90802 2017-08-02
1699135558 Margo Frost Watson Psychologist 270 San Remo Dr, Long Beach, CA 90803-3620 2016-03-04
1336506997 Heights Center for Counseling and Wellness, Inc Psychologist 440 Redondo Ave Ste 103, Long Beach, CA 90814-5143 2016-01-26
1619373008 Corina Reyes Lopez Psychologist 5901 E 7th St # 6116b, Long Beach, CA 90822-5201 2014-11-12
1841695129 Sherri Nielsen Psychologist 1539 Harbor Ave, Long Beach, CA 90813-1322 2014-10-28
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Competitor

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City LONG BEACH
Zip Code 90807

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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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