KIIRA HEALTH PRACTICE CA PC


Address: 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490
Phone: 8328781651

KIIRA HEALTH PRACTICE CA PC (NPI# 1255939674) 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) 1255939674
Entity Type Organization
Organization Name KIIRA HEALTH PRACTICE CA PC
Practice Address 123 S Figueroa St Apt 1202
Los Angeles
CA 90012-5490
Practice Telephone 8328781651
Mailing Telephone 8328781651
Enumeration Date 2020-10-16
Last Update Date 2020-10-20
Authorized Official Name LORRAINE BERAHO (PRESIDENT)
Authorized Official Telephone 8328781651
Authorized Official Credential MD, DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 123 S FIGUEROA ST APT 1202
City LOS ANGELES
State CA
Zip Code 90012-5490

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1033667662 Olga Witrago Case Manager/Care Coordinator 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 2016-09-12
1902269962 Samantha Martinez Licensed Practical Nurse 701 West Cesar Chavez Av, Los Angeles, CA 90012 2016-03-29
1760847313 Maria Emilia Manosa Rosales Social Worker 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 2015-12-28
1609242999 Hilary Adams Psychologist 250 E 1st St Ste 300, Los Angeles, CA 90012 2015-08-20
1831586288 Thanh Ngoc Nguyen Trinh Nurse Practitioner 180 N Los Angeles St, Los Angeles, CA 90012 2015-04-23
1760880827 Bertha Regina Garcia Licensed Vocational Nurse 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 2014-12-05
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1568001584 Ahdout Health Services, Inc. General Practice 2121 Avenue of The Stars # Ll20, Los Angeles, CA 90067-5010 2019-12-23
1104470384 Chan Family Medical Corp General Practice 4070 E. Olympic Blvd, Los Angeles, CA 90023 2019-07-26
1972064004 Divine Help Medical Group Inc General Practice 1711 W Temple St Unit 5613, Los Angeles, CA 90026-5421 2019-03-29
1942767801 Plaza Health Services Inc. General Practice 11111 Santa Monica Blvd Ste 200, Los Angeles, CA 90025-3333 2019-02-27
1124536289 Edward Meltser General Practice 469 N Alfred St, Los Angeles, CA 90048-2504 2018-01-11
1023524980 St. Johns Urgent Care & Medical Corporation General Practice 1138 N Western Ave, Los Angeles, CA 90029-1702 2017-12-14
1992234199 David Ghods General Practice 3631 Crenshaw Blvd Ste 109, Los Angeles, CA 90016-4869 2017-06-09
1740718345 Cosmetic Laser Medspa, Inc. General Practice 1535 S La Cienega Blvd, Los Angeles, CA 90035-3714 2017-05-25
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Competitor

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City LOS ANGELES
Zip Code 90012

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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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