KIET LOC APC (NPI# 1134586126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134586126 |
| Entity Type | Organization |
| Organization Name | KIET LOC APC |
| Practice Address |
24012 Calle De La Plata Suite 150 Laguna Hills CA 92653-3621 |
| Practice Telephone | 9498371130 |
| Practice Fax Number | 9495819189 |
| Mailing Telephone | 9498371130 |
| Mailing Fax Number | 9495819189 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |
| Authorized Official Name | KIET MINH LOC (PRESIDENT) |
| Authorized Official Telephone | 9498371130 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
A119338 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
24012 CALLE DE LA PLATA SUITE 150 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284108 | George Samuel Konugres | Internal Medicine | 24012 Calle De La Plata, Ste 150, Laguna Hills, CA 92653-3621 | 2005-06-13 |
| 1508318411 | Interventional Spine Center, LLC | Clinic/Center | 24012 Calle De La Plata, Suite 130, Laguna Hills, CA 92653 | 2016-10-26 |
| 1477946747 | Erika Cruz | Nurse Practitioner | 24012 Calle De La Plata, Suite 120, Laguna Hills, CA 92653-3621 | 2015-03-11 |
| 1144639436 | Parentis Home Care Providers, Inc. | In Home Supportive Care | 24012 Calle De La Plata, Suite 400a, Laguna Hills, CA 92653-3621 | 2014-08-12 |
| 1740699180 | Parentis Home Health Care, Inc. | Home Health | 24012 Calle De La Plata, Suite 405, Laguna Hills, CA 92653-3621 | 2014-08-11 |
| 1851708853 | Parentis Hospice and Health Care, Inc | Hospice Care, Community Based | 24012 Calle De La Plata, Suite 400, Laguna Hills, CA 92653-3621 | 2014-07-22 |
| 1215289327 | Connect Hearing, Inc. | Audiologist | 24012 Calle De La Plata, Suite 215, Laguna Hills, CA 92653-3621 | 2012-10-12 |
| 1790077121 | Jerry S Anderson | Hearing Instrument Specialist | 24012 Calle De La Plata, Ste 215, Laguna Hills, CA 92653-3621 | 2011-05-04 |
| 1508166265 | Mary Elizabeth Pongetti | Physical Therapist | 24012 Calle De La Plata, Suite 300, Laguna Hills, CA 92653-3621 | 2010-10-28 |
| 1568792083 | Newport Health Network, Inc | Audiologist-Hearing Aid Fitter | 24012 Calle De La Plata, Suite 215, Laguna Hills, CA 92653-3621 | 2010-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821624156 | Maria Elena Smith | Psychiatry & Neurology | 1068 Roy Frerichs Ln, Tracy, CA 95377-6605 | 2020-03-18 |
| 1639724057 | Nidal A Khalili Md,inc | Psychiatry & Neurology | 7551 Timberlake Way Ste 240, Sacramento, CA 95823-5422 | 2019-08-02 |
| 1871057687 | Justin Galvis | Psychiatry & Neurology | 3530 56th St, Sacramento, CA 95820-2341 | 2019-01-25 |
| 1861904401 | Monte S Buschsbaum | Psychiatry & Neurology | 1455 Coral Dr, Laguna Beach, CA 92651-1910 | 2017-11-03 |
| 1154864874 | Center for Neurohealth Inc | Psychiatry & Neurology | 4180 La Jolla Village Dr Ste 240, La Jolla, CA 92037 | 2016-11-29 |
| 1922481019 | Robert Rafal | Psychiatry & Neurology | 3 Captain Dr, Apt D404, Emeryville, CA 94608-1740 | 2015-07-07 |
| 1386993897 | Ernest William Klatte | Psychiatry & Neurology | 317 Ramona Place, Costa Mesa, CA 92627 | 2012-08-30 |
| 1265788426 | Sam A Castro, M.d., Inc. | Psychiatry & Neurology | 333 W Shaw Ave, #7, Fresno, CA 93704-2657 | 2012-07-25 |
| 1871858084 | Joseph H. Rodd M.d. Inc | Psychiatry & Neurology | 20710 S. Leapwood Ave., Suite B, Carson, CA 90746 | 2012-07-13 |
| 1821283318 | Laurence Stuart Rivkin | Psychiatry & Neurology | 6265 Cypress Point Rd, San Diego, CA 92120-3814 | 2007-09-08 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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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.