DUA MEDICAL, INC. (NPI# 1285017277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285017277 |
| Entity Type | Organization |
| Organization Name | DUA MEDICAL, INC. |
| Other Organization Name | HEAL DOCTORS |
| Practice Address |
11845 W Olympic Blvd Ste 900w Los Angeles CA 90064-5086 |
| Mailing Address |
528 Palisades Dr Unit 176 Pacific Palisades CA 90272-2844 |
| Practice Telephone | 8446444325 |
| Practice Fax Number | 4246250010 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | RENEE DUA (PRESIDENT) |
| Authorized Official Telephone | 8446444325 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Heal Doctors | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 Connecticut Ave Nw Ste 700, Washington, DC 200362657 | 8446444325 | 4246250010 |
| 1405 S Fern St # 556, Arlington, VA 222022810 | 8446444325 | 4246250010 |
| 275 Carpenter Dr Ste 310, Atlanta, GA 303284911 | 8446444325 | |
| 3636 33rd St Ste 306, Long Island City, NY 111062329 | 8446444325 | 4246250010 |
| 371 Hoes Ln Ste 200, Piscataway, NJ 088544143 | 8446444325 | 4246250010 |
| 528 Palisades Dr, Unit 176, Pacific Palisades, CA 902722844 | 8185855678 | |
| 748 Market St, Tacoma, WA 984023737 | 8446444325 | 4246250010 |
| Street Address |
11845 W OLYMPIC BLVD STE 900W |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-5086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255486072 | Robert K Kakehashi | Internal Medicine | 11845 W Olympic Blvd Ste 900w, Los Angeles, CA 90064-5086 | 2007-01-24 |
| 1336797125 | Fendee Madayag Anselmo | Registered Nurse | 11845 W Olympic Blvd Ste 900w, Los Angeles, CA 90064-5086 | 2019-08-27 |
| 1932441425 | Esther Souyon Park | Pediatrics | 11845 W Olympic Blvd Ste 900w, Los Angeles, CA 90064-5086 | 2013-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1851913917 | St Bishoy Medical Group | General Practice | 8545 Saturn St Apt 103, Los Angeles, CA 90035-3658 | 2020-05-12 |
| 1609403807 | Doctors On The Go Professional Group Corp. | General Practice | 3325 Wilshire Blvd Ste 210, Los Angeles, CA 90010-1718 | 2020-03-26 |
| 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 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
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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.