DR. ALEXANDER J KELLOGG (NPI# 1104304765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104304765 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDER J KELLOGG |
| Credential | PHARMD |
| Practice Address |
236 S Los Angeles St Apt 334b Los Angeles CA 90012-3780 |
| Practice Telephone | 3095071635 |
| Mailing Telephone | 3095071635 |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2018-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
77828 | CA | Pharmacy Service Providers |
| Street Address |
236 S LOS ANGELES ST APT 334B |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90012-3780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654124 | Los Angeles County Children and Families First - Proposition 10 Commis | Case Management | 750 N. Alameda Street, Suite 300, Los Angeles, CA 90012 | 2018-06-26 |
| 1750886511 | Pain Control Clinic | Acupuncturist | 321 E. 1st St. #220, Los Angeles, CA 90012 | 2018-03-26 |
| 1891224325 | Brenda D Sazo | Community Health Worker | 1000 N. Alameda St, # 350, Los Angeles, CA 90012 | 2017-06-08 |
| 1740719012 | Fatemeh Arabpour | Dentist | 505 N Figueroa Apt #534, Los Angeles, CA 90012 | 2017-06-08 |
| 1033667662 | Olga Witrago | Case Manager/Care Coordinator | 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 | 2016-09-12 |
| 1902269962 | Samantha Martinez | Licensed Practical Nurse | 701 West Cesar Chavez Av, Los Angeles, CA 90012 | 2016-03-29 |
| 1760847313 | Maria Emilia Manosa Rosales | Social Worker | 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 | 2015-12-28 |
| 1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
| 1831586288 | Thanh Ngoc Nguyen Trinh | Nurse Practitioner | 180 N Los Angeles St, Los Angeles, CA 90012 | 2015-04-23 |
| 1760880827 | Bertha Regina Garcia | Licensed Vocational Nurse | 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 | 2014-12-05 |
| Find all providers in zip 90012 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528564697 | Bonnie Lee | Pharmacist | 4640 Richelieu Ter, Los Angeles, CA 90032-3245 | 2018-04-05 |
| 1205347150 | Mee Kyoung Kim | Pharmacist | 3511 W Olympic Blvd Ste 102, Los Angeles, CA 90019-3563 | 2017-10-18 |
| 1922533231 | Edward Jai | Pharmacist | 550 S Vermont Ave Ste 903, Los Angeles, CA 90020-1912 | 2017-04-24 |
| 1346601036 | Jarrin Kean Cheng | Pharmacist | 4755 Templeton St Apt 2122, Los Angeles, CA 90032-2146 | 2016-03-09 |
| 1457745820 | Stephanie Mok | Pharmacist | 1100 N State St Rm 1b311, Los Angeles, CA 90033-5000 | 2015-03-24 |
| 1558655480 | Peyman Kharazi | Pharmacist | 1921 Glendon Ave, Apt 301, Los Angeles, CA 90025-4696 | 2011-06-08 |
| 1538489133 | Ng Patricia Lin | Pharmacist | 245 South Fetterly Avenue, Los Angeles, CA 90022 | 2010-06-04 |
| 1366772816 | Maria Kootsikas | Pharmacist | 1502 S. Crescent Heights Boulevard, Los Angeles, CA 90035-3816 | 2010-01-06 |
| 1912131210 | Dwight J Song | Pharmacist | 2018 Griffith Park Blvd, Apt #. 124, Los Angeles, CA 90039-3563 | 2009-05-14 |
| 1477648335 | Michelle Cheung Lew | Pharmacist | 351 East Temple, Los Angeles, CA 90012 | 2006-10-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90012 |
Please comment or provide details below to improve the information on DR. ALEXANDER J KELLOGG.
| 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.