AUDRA PONCI BADO (NPI# 1164627436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164627436 |
| Entity Type | Individual |
| Full Name | AUDRA PONCI BADO |
| Credential | M.P.T. |
| Practice Address |
12099 W Washington Blvd Ste 300 Los Angeles CA 90066-2621 |
| Mailing Address |
12099 W. Washington Blvd Ste 300 Culver Cite CA 90066 |
| Practice Telephone | (213) 935-8566 |
| Practice Fax Number | 3105350009 |
| Mailing Telephone | (213) 935-8566 |
| Mailing Fax Number | 3105350009 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2017-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 26768 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251H1200X |
Physical Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251H1200X |
Physical Therapist Specialization: Hand |
26768 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12099 W WASHINGTON BLVD STE 300 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619981636 | Robert Bernard Weber | Internal Medicine | 12099 W Washington Blvd Ste 300, Los Angeles, CA 90066-2621 | 2006-07-27 |
| 1164938874 | Jah Hand Surgery | Orthopaedic Surgery | 12099 W Washington Blvd Ste 300, Los Angeles, CA 90066-2621 | 2017-12-18 |
| 1194896332 | Robert B Weber Md A Professional Corporation | Internal Medicine | 12099 W Washington Blvd Ste 300, Los Angeles, CA 90066-2621 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| Taxonomy Code | 2251H1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136297 | Olesya Beslyk | Physical Therapist | 5010 Sunshine Ln, Sacramento, CA 95841-2627 | 2020-05-21 |
| 1912314303 | Tri City Orthopaedic Surgery Medical Group Inc | Physical Therapist | 1958 Via Centre Dr, Vista, CA 92081-6056 | 2014-07-17 |
| 1932423464 | Chris Tolos Physical Therapy | Physical Therapist | 23012 Bigler St, Woodland Hills, CA 91364-2705 | 2010-03-26 |
| 1346341260 | Marlene Anne Lamar | Physical Therapist | 1085 W El Camino Real, Sunnyvale, CA 94087-1030 | 2006-09-25 |
| 1386745362 | Florence Kathleen Kotze | Physical Therapist | 1301 E Bidwell Street Suite 201, Burger Rehabilitation, Folsom, CA 95630 | 2006-09-25 |
| 1336150481 | Rancho Physical Therapy, Inc. | Physical Therapist | 24630 Washington Avenue, Suite 200, Murrieta, CA 92562 | 2006-08-11 |
| 1932104270 | Hand Rehab Associates, Inc. | Physical Therapist | 363 Main St, Ste A, Redwood City, CA 94063-1729 | 2005-06-14 |
| 1528689809 | Guanghuo Chen | Physical Therapist | 120 N Tustin Ave, Anaheim, CA 92807-2716 | 2020-04-28 |
| 1356803423 | Jeanette Allison | Physical Therapist | 8030 Soquel Ave Ste 200, Santa Cruz, CA 95062-2096 | 2019-04-05 |
| 1215139902 | Hand Therapy | Physical Therapist | 7325 Medical Center Dr Ste 304, West Hills, CA 91307-4115 | 2007-06-04 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on AUDRA PONCI BADO.
| 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.