EDGAR ISIDORO (NPI# 1144821935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144821935 |
Entity Type | Individual |
Full Name | EDGAR ISIDORO |
Practice Address |
1775 Chestnut Ave Long Beach CA 90813-1674 |
Mailing Address |
327 W 58th St Los Angeles CA 90037-4123 |
Practice Telephone | 5625998444 |
Mailing Telephone | 3235795386 |
Enumeration Date | 2020-11-06 |
Last Update Date | 2020-11-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
1775 CHESTNUT AVE |
City | LONG BEACH |
State | CA |
Zip Code | 90813-1674 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083752125 | Chantell Cuaron | Counselor | 1775 Chestnut Ave, Long Beach, CA 90813 | 2007-02-01 |
1881291292 | Nataliya Polyanchykova | Registered Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-10-08 |
1982225348 | Destiny Deja Pitts | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-04-27 |
1235764630 | Conrad Bonilla | Registered Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-03-05 |
1689207953 | Benjamin Josiah Dosch | Social Worker | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-02-14 |
1831729169 | Karen Lynn Baugh | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-01-26 |
1144869645 | Cynthia Yvette Ross | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-12-31 |
1164061800 | Tana Queen | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-12-28 |
1871130963 | Carolina Martinez | Registered Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-12-08 |
1306481130 | Delaina Ann Luckett | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-11-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
Find all providers in zip 90813 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114534526 | Lakeysher Swantima Whitfeld | Counselor | 1225 E 3rd St Apt A, Long Beach, CA 90802-3670 | 2020-09-29 |
1467061457 | Alex Glowacki | Counselor | 212 Euclid Ave Apt 102, Long Beach, CA 90803-6033 | 2020-07-27 |
1154960441 | Asopaepae Ropeti Mulitauaopele | Counselor | 2720 E 56th St, Long Beach, CA 90805-5104 | 2020-01-03 |
1689212029 | Brian Scott Becher | Counselor | 4427 E Anaheim St # B, Long Beach, CA 90804-3115 | 2019-12-17 |
1134774912 | Asucena Leon | Counselor | 2140 W Wardlow Rd Apt 3, Long Beach, CA 90810-2059 | 2019-08-07 |
1649746215 | Cassandra Whitney Dewey | Counselor | 2120 W. Williams Street, Long Beach, CA 90810 | 2018-10-22 |
1598240442 | Elle Whitney Anzalone | Counselor | 6502 E Wardlow Rd, Long Beach, CA 90808-4137 | 2018-09-26 |
1114404407 | Anthony Sison | Counselor | 1358 Ximeno Ave, Long Beach, CA 90804-3045 | 2018-07-19 |
1073026738 | Latrisha S. Stewart | Counselor | 2120 W Williams St Unit 31, Long Beach, CA 90810-3636 | 2017-11-15 |
1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90813 |
Please comment or provide details below to improve the information on EDGAR ISIDORO.
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.