DR. ANDREA LYNNE HENDERSON


Address: 11980 San Vicente Blvd, Suite 918, Los Angeles, CA 90049-5012
Phone: 3108266535

DR. ANDREA LYNNE HENDERSON (NPI# 1194072231) 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) 1194072231
Entity Type Individual
Full Name DR. ANDREA LYNNE HENDERSON
Credential D.D.S, F.A.C.P
Practice Address 11980 San Vicente Blvd
Suite 918
Los Angeles
CA 90049-5012
Mailing Address 11980 San Vicente Blvd
Ste 918
Los Angeles
CA 90049-5012
Practice Telephone 3108266535
Mailing Telephone 3108266535
Enumeration Date 2012-08-08
Last Update Date 2012-08-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
61553 CA Dental Providers

Other Providers ANDREA HENDERSON

NPI Name Taxonomy Address Enumeration
1992153704 Andrea Henderson Licensed Practical Nurse 9131 Bradford, Detroit, MI 48224 2016-06-02
1699149443 Andrea Henderson Home Health Aide 1410 Washington Blvd, Apt 1706, Detroit, MI 48226-1719 2015-11-17
1790932895 Andrea Diane Henderson Physical Therapist 640 S Irena Ave, Redondo Beach, CA 90277-4355 2008-08-20
1578756466 Andrea Leigh Henderson Midwife 18208 66th Ave Ne Ste 200, Kenmore, WA 98028-7949 2007-08-23
1831243195 Andrea Lynn Henderson Registered Nurse 11450 E View Dr, Amarillo, TX 79124-4782 2007-01-23
1356756290 Andrea J Henderson Physical Therapist 5255 W Overland Rd, Boise, ID 83705-2637 2014-06-30
1720359375 Andrea Henderson Pharmacist 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2012-01-13
1992026546 Andrea Henderson Dentist 1010 Main St S, Mc Kee, KY 40447-7089 2010-06-17
1548462955 Andrea Henderson Counselor 390 40th St, Oakland, CA 94609-2633 2007-06-05

Office Location

Street Address 11980 SAN VICENTE BLVD
SUITE 918
City LOS ANGELES
State CA
Zip Code 90049-5012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790785806 Nicholas A Yankopoulos Internal Medicine 11980 San Vicente Blvd, Suite 906, Los Angeles, CA 90049-5012 2005-07-29
1114463395 Kevin Barrett Dds Inc Dentist 11980 San Vicente Blvd, Suite 802, Los Angeles, CA 90049-5012 2017-01-12
1497209183 Nima Astaraee Dentist 11980 San Vicente Blvd, Los Angeles, CA 90049 2016-08-10
1417304197 Stuart Alan Ende Psychoanalyst 11980 San Vicente Blvd, Suite 910, Los Angeles, CA 90049-5012 2016-05-23
1215391289 Tmj & Sleep Therapy Centre of Los Angeles Dentist 11980 San Vicente Blvd, Suite 619, Los Angeles, CA 90049-5012 2016-04-06
1063873131 Alan Spivak Psychologist 11980 San Vicente Blvd, Ste 712, Los Angeles, CA 90049-5012 2016-03-16
1265807465 Kathy K Barrett, Ma, Marriage & Family Therapist, Apc Marriage & Family Therapist 11980 San Vicente Blvd, Suite 809, Los Angeles, CA 90049-5012 2015-12-14
1013381417 Jessica Sanchez Marriage & Family Therapist 11980 San Vicente Blvd, Suite 909, Los Angeles, CA 90049-5012 2015-11-23
1821498635 Brentwood Orthopedic & Spine Surgery Clinic/Center 11980 San Vicente Blvd, Suite 110, Los Angeles, CA 90049-5012 2014-08-28
1346677341 Candida Conder Marriage & Family Therapist 11980 San Vicente Blvd, Suite 612, Los Angeles, CA 90049-5012 2013-10-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316564339 Kepp Family & Group Practice Marriage & Family Therapist 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 2020-06-26
1386204493 Steven J Lehrman Marriage & Family Therapist 179 S. Barrington Place, Office A, Los Angeles, CA 90049 2019-06-20
1922562990 Jand. Inc. Eyewear Supplier (Equipment, not the service) 860 S. Sepulveda Blvd., Los Angeles, CA 90049 2019-01-24
1851864946 Christie Schnur Marriage & Family Therapist 11911 San Vicente Blvd., Los Angeles, CA 90049 2019-01-10
1669954012 Barbara Jiji Schenk Marriage & Family Therapist 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 2018-09-02
1972090710 Community Reflections Inc Counselor 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 2018-04-17
1245738830 Dr. Shirin Tabib LLC Marriage & Family Therapist 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 2018-01-29
1295240679 Robert A Brooks Preventive Medicine 149 South Barrington Ave, #346, Los Angeles, CA 90049 2017-12-07
1598286478 Marvin S Serrano Physical Therapy Assistant 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 2017-06-30
1972055812 Evolve Growth Initiatives, LLC Psychiatric Residential Treatment Facility 820 Moraga Drive, Los Angeles, CA 90049 2016-10-26
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Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952902272 Prajna Banan Dentist 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 2020-11-03
1144749508 Jenna Benko Dentist 1849 Greenfield Ave Apt 201, Los Angeles, CA 90025 2017-09-15
1033635156 Lee Professional Dental Corp Dentist 10921 Wilshire Blvd Ste 812, Los Angeles, CA 90024-4003 2017-08-21
1841744638 Cheryl Jonghee Park Dentist 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 2016-08-09
1235593351 Eugenio Aquino Dentist 814 S Harvard Blvd, Apt 12, Los Angeles, CA 90005 2016-04-06
1710242847 Stacy L Yu Dentist 1435 S Bundy Dr, Apt 5, Los Angeles, CA 90025-2131 2012-07-04
1477825677 Sil Park Dentist 10833 Le Conte Ave Rm A0-156b, Uc Regents Maxillofacial Prosthetics, Los Angeles, CA 90095-1668 2012-02-02
1194013599 Injoon Bernard Yoo Dentist 3600 Wilshire Blvd. Suite 220, Los Angeles, CA 90010 2011-07-19
1134411523 Michelle Ikoma Dentist 925 W 34th St Ste 255, Los Angeles, CA 90089-0641 2011-05-04
1477875458 Ryan Christopher Wallace Dentist 420 E 3rd St Ste 1008, Los Angeles, CA 90013-1648 2010-02-18
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90049

Improve Information

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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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