MS. LISA KENDRICK (NPI# 1245622273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245622273 |
| Entity Type | Individual |
| Full Name | MS. LISA KENDRICK |
| Credential | RON |
| Practice Address |
483 N Aviation Blvd 61 Medical Squadron Laafb El Segundo CA 90245-2808 |
| Mailing Address |
1260 15th Street Suite 1109 Santa Monica CA 90404 |
| Practice Telephone | 3106536736 |
| Mailing Telephone | 4247859099 |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 1037565 | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578952958 | Lisa Kendrick | Counselor | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2015-01-22 |
| Street Address |
483 N AVIATION BLVD 61 MEDICAL SQUADRON LAAFB |
| City | EL SEGUNDO |
| State | CA |
| Zip Code | 90245-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370250 | Roy C Marlow | Dentist | 483 N Aviation Blvd, 61st Medical Group/sgd; #210, El Segundo, CA 90245-2808 | 2005-10-18 |
| 1114372786 | Adam George Hendriksen | Military Health Care Provider | 483 N Aviation Blvd, El Segundo, CA 90245-2808 | 2016-05-02 |
| 1346547320 | Patrick Edgecomb | Physical Therapist | 483 N Aviation Blvd, Bldg 210, El Segundo, CA 90245-2808 | 2011-02-28 |
| 1124334404 | Chad Rounds | Pharmacist | 483 N Aviation Blvd, El Segundo, CA 90245-2808 | 2010-08-25 |
| 1194046425 | Matthew John Royall | Pediatrics | 483 N Aviation Blvd, Bldg 210, El Segundo, CA 90245-2808 | 2010-06-22 |
| 1700013745 | James Michael Ridgeway II | Dentist | 483 N Aviation Blvd, Los Angeles Afb/61mds/sgd, El Segundo, CA 90245 | 2009-06-17 |
| 1679751200 | Clifford C Souder | Physician Assistant | 483 N Aviation Blvd, El Segundo, CA 90245-2808 | 2008-02-06 |
| 1598710220 | Peggy Marie Delery | Social Worker | 483 N Aviation Blvd, 61 Mds/sgoh, El Segundo, CA 90245-2808 | 2006-05-23 |
| 1568446698 | Val Wano Finnell | Pathology | 483 N Aviation Blvd, 61 Mdg/sgh, El Segundo, CA 90245-2808 | 2005-12-01 |
| 1679554786 | Robert Mark Pekari | Physician Assistant | 483 N Aviation Blvd, 61st Medical Group/sgpf, El Segundo, CA 90245-2808 | 2005-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058976 | Britt'nee Cornelius | Massage Therapist | 222 North PCh, Suite 2000, El Segundo, CA 90245 | 2020-09-18 |
| 1750913778 | Laurie Ann Scoppetto | Dietitian, Registered | 482 N Aviation Blvd, El Segundo, CA 90245 | 2020-02-07 |
| 1972135283 | A Dabrowska Dds, Inc | Dentist | 390 N. Pacific Coast Hwy #1050, El Segundo, CA 90245 | 2020-02-05 |
| 1578023057 | Miles Bertumen | Pharmacist | 283 N Aviation Blvd, Building 210, El Segundo, CA 90245 | 2019-03-21 |
| 1831673201 | Kriss L. Killam | Marriage & Family Therapist | 302 W. Grand Ave., Suite 9, El Segundo, CA 90245 | 2018-09-20 |
| 1811487911 | Bright Light Recovery | Substance Abuse Rehabilitation Facility | 218 Concord St, Suite C, El Segundo, CA 90245 | 2018-05-14 |
| 1265950448 | Sarah Yuriko Mizuki | Physician Assistant | 390 N PCh, Suite 1000, El Segundo, CA 90245 | 2017-09-07 |
| 1326586462 | Jlp Interpreting Services | Interpreter | 963 Virginia St #5, El Segundo, CA 90245 | 2017-02-09 |
| 1619351707 | El Segundo Dermatology, Inc. | Specialist | 713 N Douglas St., El Segundo, CA 90245 | 2015-07-17 |
| 1083956635 | 24hr Homecare, LLC | Home Health | 200 N. Pacific Coast Highway, Suite 300, El Segundo, CA 90245 | 2013-03-21 |
| Find all providers in zip 90245 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324012 | Bailey Rose Medical Billing LLC | Contractor | 839 Fan Palm Ln, Brentwood, CA 94513-5680 | 2020-10-21 |
| 1245837566 | Irshad H Fardan | Contractor | 2167 Pasetta Dr Apt 1, Santa Clara, CA 95050-3249 | 2020-10-09 |
| 1245838531 | Karen Strickland | Contractor | 3450 Sacramento St # 531, San Francisco, CA 94118-1914 | 2020-10-09 |
| 1831796879 | Laura Barker | Contractor | 55 River Oaks Pl Apt 381, San Jose, CA 95134-2074 | 2020-10-02 |
| 1477167054 | Jarib Takezhi Concilco Colin | Contractor | 3862 Sherwood Pl, Sherman Oaks, CA 91423-4608 | 2020-09-01 |
| 1609492289 | Neil Sankar | Contractor | 3610 Flora Vista Ave Apt 238, Santa Clara, CA 95051-3508 | 2020-06-19 |
| 1467077404 | Eric Avirett | Contractor | 1944 Bonita Ave, Berkeley, CA 94704-1038 | 2020-06-16 |
| 1699305805 | Sanjiv Ramdeo | Contractor | 710 Santa Susana St, Sunnyvale, CA 94085-3470 | 2020-01-16 |
| 1407498942 | Terry Lee Moffit | Contractor | 1165 W 15th St, San Bernardino, CA 92411-1811 | 2019-10-16 |
| 1538701693 | Ramin P Shirazi IIi | Contractor | 25411 Mina Ct, Lake Forest, CA 92630-5311 | 2019-10-10 |
| Find all providers with the same taxonomy | ||||
| City | EL SEGUNDO |
| Zip Code | 90245 |
Please comment or provide details below to improve the information on MS. LISA KENDRICK.
| 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.