MS. KATHLEEN RUSSELL PORT (NPI# 1316240336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316240336 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN RUSSELL PORT |
| Credential | L. AC. |
| Practice Address |
2211 Corinth Ave Suite 202 Los Angeles CA 90064-1650 |
| Mailing Address |
657 El Medio Ave Pacific Palisades CA 90272-4226 |
| Practice Telephone | 3102300280 |
| Practice Fax Number | 3104962108 |
| Mailing Telephone | 3102300280 |
| Mailing Fax Number | 3104962108 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC6282 | CA | Other Service Providers |
| Street Address |
2211 CORINTH AVE SUITE 202 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942235189 | Ira Schneider | Chiropractor | 2211 Corinth Ave, Suite 301, Los Angeles, CA 90064-1650 | 2006-07-12 |
| 1588190953 | Jack Fearn | Chiropractor | 2211 Corinth Ave, Suite 301, Los Angeles, CA 90064-1650 | 2017-05-04 |
| 1932633898 | Kerri Schwartz | Dietitian, Registered | 2211 Corinth Ave, Los Angeles, CA 90064-1650 | 2017-04-18 |
| 1942744800 | Creative Nutrition | Dietitian, Registered | 2211 Corinth Ave, Suite 307, Los Angeles, CA 90064-1650 | 2016-12-12 |
| 1275075947 | Alane Miller Howell | Psychologist | 2211 Corinth Ave, Suite 307, Los Angeles, CA 90064-1650 | 2016-11-13 |
| 1548607468 | Lisa Marie Sanchez | Acupuncturist | 2211 Corinth Ave, Suite 211, Los Angeles, CA 90064-1650 | 2013-06-01 |
| 1285973776 | Christiane Soehnlein | Specialist | 2211 Corinth Ave, Suite 203, Los Angeles, CA 90064-1650 | 2013-02-04 |
| 1083900096 | Elysa Waldholz | Marriage & Family Therapist | 2211 Corinth Ave, Suite#203, Los Angeles, CA 90064-1650 | 2011-06-28 |
| 1922305788 | Eden Joseph Goldman | Chiropractor | 2211 Corinth Ave, Suite 211, Los Angeles, CA 90064-1650 | 2011-02-14 |
| 1972760213 | Longevity Medical Center | Family Medicine | 2211 Corinth Ave, #204, Los Angeles, CA 90064-1650 | 2008-05-22 |
| Find all providers in the same location | ||||
| 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 | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356083 | Pyung Doo Nam | Acupuncturist | 7097 Alvern St Apt D212, Los Angeles, CA 90045-1867 | 2020-11-02 |
| 1285241596 | Marion Jane Dunham | Acupuncturist | 1048 Everett Pl Apt 3, Los Angeles, CA 90026-4446 | 2020-09-30 |
| 1346859113 | Jan Hunt | Acupuncturist | 3022 Danalda Dr, Los Angeles, CA 90064-4626 | 2020-07-28 |
| 1235747833 | Taeyoung Lee | Acupuncturist | 639 S Commonwealth Ave Apt 306, Los Angeles, CA 90005-4009 | 2020-07-20 |
| 1659998789 | Sukyeong Ryu | Acupuncturist | 945 S Western Ave Ste 204, Los Angeles, CA 90006-1008 | 2020-07-06 |
| 1871118661 | Gilli Wellness, Inc. | Acupuncturist | 1743 S La Cienega Blvd Ste X, Los Angeles, CA 90035-4671 | 2020-06-08 |
| 1508494840 | Sondrina Bullitt | Acupuncturist | 4121 Halldale Ave Apt 202, Los Angeles, CA 90062-1874 | 2020-03-31 |
| 1386272888 | Danielia D Falcon | Acupuncturist | 548 S Spring St Apt 105, Los Angeles, CA 90013-2345 | 2020-03-30 |
| 1780211276 | Hee Se Lee | Acupuncturist | 2415 Ocean View Ave, Los Angeles, CA 90057-1817 | 2020-03-24 |
| 1992331219 | Hyewon Han | Acupuncturist | 338 S Oxford Ave Apt 7, Los Angeles, CA 90020-3882 | 2020-03-18 |
| 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.