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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
61553 | CA | Dental Providers |
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 |
Street Address |
11980 SAN VICENTE BLVD SUITE 918 |
City | LOS ANGELES |
State | CA |
Zip Code | 90049-5012 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 90049 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
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 |
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 |
City | LOS ANGELES |
Zip Code | 90049 |
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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.