MARYLOU BUNN (NPI# 1144661885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144661885 |
| Entity Type | Individual |
| Full Name | MARYLOU BUNN |
| Practice Address |
16410 Bloomfield Ave Ste B Cerritos CA 90703-2144 |
| Mailing Address |
16782 Von Karman Ave Ste 11 Irvine CA 92606-2417 |
| Practice Telephone | 5627604429 |
| Mailing Telephone | 9498332237 |
| Mailing Fax Number | 5623888178 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2241 W Williams St, Long Beach, CA 908103652 | 5623888180 | 5623888178 |
| Street Address |
16410 BLOOMFIELD AVE STE B |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295731 | Perpetual Emeana | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-11-06 |
| 1508467366 | Karla Galan Perez | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-11-06 |
| 1073114302 | Guadalupe Jasso | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-11-03 |
| 1780283622 | Areysee Borja | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-21 |
| 1073112900 | Krishna Bhakta | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-21 |
| 1912506015 | Nallely Morales Vega | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| 1568061604 | Brianna Delgado | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| 1801495916 | Vivianna Flores | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| 1093314106 | Kathryn Barker | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| 1437757150 | Madison Mader | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871682112 | Doris Rodriguez | Rehabilitation Practitioner | 17707 Studebaker Rd # 208, Cerritos, CA 90703-2640 | 2006-10-12 |
| 1033667639 | Mia Deandra Carmona | Rehabilitation Practitioner | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2016-09-13 |
| 1891142659 | Lourdes Moreno | Rehabilitation Practitioner | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2016-05-20 |
| 1902287790 | Marilu Estevez | Rehabilitation Practitioner | 10929 South St Ste 208b, Cerritos, CA 90703-5391 | 2015-06-17 |
| 1922443142 | Adela Amaya | Rehabilitation Practitioner | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2013-05-01 |
| 1184982563 | George Oscar Delcampo | Rehabilitation Practitioner | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2012-04-24 |
| 1386924306 | Roseanne Melendrez | Rehabilitation Practitioner | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2011-08-22 |
| 1669707147 | Diva Monserrat Sanchez Trevino | Rehabilitation Practitioner | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2009-10-16 |
| 1710117965 | Teresa Rufina Celada | Rehabilitation Practitioner | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2009-07-22 |
| 1861631129 | Delbert Lawerence Hunter | Rehabilitation Practitioner | 17707 Studebaker Rd # 208, Cerritos, CA 90703-2640 | 2009-02-10 |
| Find all providers in CERRITOS | ||||
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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.