MRS. STEPHANIE KOZACKA (NPI# 1265898159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265898159 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE KOZACKA |
| Other Name | STEPHANIE FITZGERALD |
| Practice Address |
3375 S Hoover St Suite H201 Los Angeles CA 90089-0116 |
| Practice Telephone | 2138215977 |
| Mailing Telephone | 2138215977 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3375 S HOOVER ST SUITE H201 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90089-0116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932328820 | Nguyet Galaz | Social Worker | 3375 S Hoover St, Suite H201, Los Angeles, CA 90089-0116 | 2007-04-25 |
| 1386094738 | Jaclyn Malbrough | Student in an Organized Health Care Education/Training Program | 3375 S Hoover St, Suite H201, Los Angeles, CA 90089-0116 | 2016-06-16 |
| 1871942011 | Shepell Omega Jaca | Student in an Organized Health Care Education/Training Program | 3375 S Hoover St, Suite H201, Los Angeles, CA 90089-0116 | 2016-06-08 |
| 1508215930 | Sean Nagel | Student in an Organized Health Care Education/Training Program | 3375 S Hoover St, Suite H201, Los Angeles, CA 90089-0116 | 2016-06-07 |
| 1225487770 | Jennifer Lee | Student in an Organized Health Care Education/Training Program | 3375 S Hoover St, Suite H201, Los Angeles, CA 90089-0116 | 2016-06-06 |
| 1104275809 | Debra Kahrs | Student in an Organized Health Care Education/Training Program | 3375 S Hoover St, Suite H201, Los Angeles, CA 90089-0116 | 2016-06-03 |
| 1235597501 | Jennifer Johnson-rodriguez | Student in an Organized Health Care Education/Training Program | 3375 S Hoover St, Suite H201, Los Angeles, CA 90089-0116 | 2016-02-02 |
| 1760849368 | Jessica Contrerasbaez | Student in an Organized Health Care Education/Training Program | 3375 S Hoover St, Suite H201, Los Angeles, CA 90089-0116 | 2016-01-27 |
| 1790141430 | Sukesha Golacinski | Student in an Organized Health Care Education/Training Program | 3375 S Hoover St, Suite H201, Los Angeles, CA 90089-0116 | 2016-01-11 |
| 1922473818 | Angel Luis Ramos Estrada | Student in an Organized Health Care Education/Training Program | 3375 S Hoover St, Suite H-201, Los Angeles, CA 90089-0116 | 2015-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
| 1548763675 | Tien Ng | Pharmacist | Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 | 2018-03-15 |
| 1821503236 | Theodore James Goldsmith | Psychologist | 1031 W 34th St Fl 3, Los Angeles, CA 90089 | 2017-12-07 |
| 1174046890 | Erin Lindsay Mcintyre | Occupational Therapist | 1540 Alcazar Street, Chp 133, Los Angeles, CA 90089 | 2017-07-25 |
| 1831645571 | Alyssa Cantal | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 | 2016-09-01 |
| 1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
| 1528412376 | Mark Duan Ard Jr. | Psychiatry & Neurology | 1975 Zonal Ave, Los Angeles, CA 90089 | 2016-04-18 |
| 1851766679 | Samantha Trout | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St Chp-133, Los Angeles, CA 90089 | 2015-12-04 |
| 1215324363 | Upama Giri | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 | 2015-04-15 |
| 1982015004 | Martrice Ways | Student in an Organized Health Care Education/Training Program | 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 | 2014-05-12 |
| Find all providers in zip 90089 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| 1750989588 | Jasmine Carpenter | Student in an Organized Health Care Education/Training Program | 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 | 2020-10-14 |
| 1801401062 | Rachel Brenner | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 | 2020-09-14 |
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1154936565 | Samrah Shaheer Abbasi | Student in an Organized Health Care Education/Training Program | 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 | 2020-09-11 |
| 1568077071 | Amber Mottola | Student in an Organized Health Care Education/Training Program | 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 | 2020-09-11 |
| 1760096937 | Elizabeth Idema | Student in an Organized Health Care Education/Training Program | 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 | 2020-09-03 |
| 1053924225 | Deanna Sharon Lin | Student in an Organized Health Care Education/Training Program | 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2020-08-28 |
| 1003429762 | Kendra Knudsen | Student in an Organized Health Care Education/Training Program | 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 | 2020-08-24 |
| 1750993515 | Deena Basilious | Student in an Organized Health Care Education/Training Program | 1403 S Union Ave, Los Angeles, CA 90015-3205 | 2020-08-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90089 |
Please comment or provide details below to improve the information on MRS. STEPHANIE KOZACKA.
| 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.