WESTSIDE NEUROTHERAPEUTICS, LLC.


Address: 10850 Wilshire Blvd, 1260, Los Angeles, CA 90024-4305
Phone: 3109460008

WESTSIDE NEUROTHERAPEUTICS, LLC. (NPI# 1114355237) 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) 1114355237
Entity Type Organization
Organization Name WESTSIDE NEUROTHERAPEUTICS, LLC.
Practice Address 10850 Wilshire Blvd
1260
Los Angeles
CA 90024-4305
Practice Telephone 3109460008
Practice Fax Number 3102090444
Mailing Telephone 3109460008
Mailing Fax Number 3102090444
Enumeration Date 2013-10-29
Last Update Date 2013-10-29
Authorized Official Name DR. TANYA VAPNIK (PRESIDENT)
Authorized Official Telephone 3109460008
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
PSY17275 CA Behavioral Health & Social Service Providers

Office Location

Street Address 10850 WILSHIRE BLVD
1260
City LOS ANGELES
State CA
Zip Code 90024-4305

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1881886802 Kirstin Claudia Moerk Psychologist 10850 Wilshire Blvd, Suite 740, Los Angeles, CA 90024-4305 2007-08-14
1689865925 James Eugene Rota Dentist 10850 Wilshire Blvd, Suite 330, Los Angeles, CA 90024-4305 2007-08-01
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NPI Name Taxonomy Address Enumeration
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1538663513 John Horton Specialist 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 2018-03-22
1467979658 Jessica Lessing O'leary Student in an Organized Health Care Education/Training Program 760 Westwood Plz # A7-361, Los Angeles, CA 90024 2017-08-28
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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1396906632 Marnie Rose Weitzman Psychologist 4221 Wilshire Blvd Ste 300a, Los Angeles, CA 90010-3537 2008-06-19
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Competitor

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City LOS ANGELES
Zip Code 90024

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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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