JONDAVID MENTEER


Address: 6450 W Sunset Blvd, Ms# 34, Los Angeles, CA 90028-7315
Phone: 3233612461

JONDAVID MENTEER (NPI# 1235225921) 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) 1235225921
Entity Type Individual
Full Name JONDAVID MENTEER
Credential MD
Practice Address 6450 W Sunset Blvd
Ms# 34
Los Angeles
CA 90028-7315
Mailing Address 6430 W Sunset Blvd
Suite 600
Los Angeles
CA 90028-7901
Practice Telephone 3233612461
Practice Fax Number 3233611513
Mailing Telephone 3233612461
Mailing Fax Number 3233611513
Enumeration Date 2006-10-04
Last Update Date 2011-08-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
A86946 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA CAL OPTIMA 00A869460 F98 01
CA 00A869460 05

Office Location

Street Address 6450 W SUNSET BLVD
MS# 34
City LOS ANGELES
State CA
Zip Code 90028-7315

Providers in the same zip code

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1639715030 Michelle Jennifer Martinez Case Manager/Care Coordinator 6838 Sunset Blvd., Hollywood, CA 90028 2019-11-20
1821562315 Ronnie Jerome Jackson Case Manager/Care Coordinator Bhs Hollywood Recovery Center, 6838 Sunset Blvd, Hollywood, CA 90028 2019-01-17
1669961595 Danielle Arce Dietitian, Registered 6721 De Longpre Ave, Los Angeles, CA 90028 2018-05-07
1982124772 Yoon Kyung Lee Pharmacist 7201 Hollywood Blvd, Los Angeles, CA 90028 2017-06-22
1982133245 Julia West Pharmacist 6201 Hollywood Blvd #126, Los Angeles, CA 90028 2017-06-08
1720527971 Melissa Susac Marriage & Family Therapist 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028 2017-02-21
1023554284 Arlene Aranda Social Worker 1873 Taft Ave, Los Angeles, CA 90028 2017-01-12
1912304775 Damon Dodge Marriage & Family Therapist 7083 Hollywood Blvd, Los Angeles, CA 90028 2014-11-21
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033751540 Guillermo A. Young, Md Inc Pediatrics 1300 N Vermont Ave Ste 402, Los Angeles, CA 90027-6086 2019-10-16
1346511235 Apichai Khongphatthanayothin Pediatrics 2020 Zonal Ave, Ird Room 111, Los Angeles, CA 90033 2012-01-24
1831343086 Shyamasundar Balasubramanya Pediatrics 10833 Le Conte Ave Ste 62-246, Los Angeles, CA 90095-1676 2008-11-13
1649207994 California Fetal and Pediatric Cardiology, Inc Pediatrics 11625 Montana Ave Apt 214, Los Angeles, CA 90049-4683 2006-06-26
1366419426 Eshagh Isaac Eshaghpour Pediatrics 8631 W. Third Street, Suite 444e, Los Angeles, CA 90048 2006-03-07
1366416497 Ruchira Garg Pediatrics 127 S. San Vicente Boulevard, A3600, Los Angeles, CA 90048 2006-02-15
1558348706 Mahnaz Tabibian Pediatrics 10833 Lecont Ave, Department of Pediatrics, Los Angeles, CA 90095-1752 2005-12-29
1760952394 Paul Fraser Kantor Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2018-11-27
1225473077 Matthew Richard Russell Pediatrics 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-7419 2013-05-07
1730454810 Mark Harris Shwayder Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2012-03-21
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Competitor

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City LOS ANGELES
Zip Code 90028

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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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