GREGORY ERIC NAWALANIC


Address: 10801 National Blvd, Suite 611, Los Angeles, CA 90064-4170
Phone: 3102734843

GREGORY ERIC NAWALANIC (NPI# 1326369778) 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) 1326369778
Entity Type Individual
Full Name GREGORY ERIC NAWALANIC
Credential PSY.D
Practice Address 10801 National Blvd
Suite 611
Los Angeles
CA 90064-4170
Practice Telephone 3102734843
Practice Fax Number 3102735056
Mailing Telephone 3102734843
Mailing Fax Number 3102735056
Enumeration Date 2010-06-21
Last Update Date 2016-06-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY28351 CA Behavioral Health & Social Service Providers

Office Location

Street Address 10801 NATIONAL BLVD
SUITE 611
City LOS ANGELES
State CA
Zip Code 90064-4170

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NPI Name Taxonomy Address Enumeration
1174575062 Chi-chun Chen Acupuncturist 10801 National Blvd, #607, Los Angeles, CA 90064 2006-05-17
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1063840965 Joy Rayside Reflexologist 10801 National Blvd, 340, Los Angeles, CA 90064-4139 2013-10-31
1285072959 Kathy Ann Marks Marriage & Family Therapist 10801 National Blvd, Suite 240, Los Angeles, CA 90064-4139 2013-06-04
1003156688 H & H Testing, LLC Clinic/Center 10801 National Blvd, Suite 579, Los Angeles, CA 90064-4139 2013-02-19
1043522717 Youngjune Yoon Acupuncturist 10801 National Blvd, Suite 340, Los Angeles, CA 90064-4139 2010-07-09
1851619381 Heather B Faye Professional Chiropractic Corporation Chiropractor 10801 National Blvd, #340, Los Angeles, CA 90064 2010-05-07
1942448170 Faye & Faye Chiropractic Inc. Chiropractor 10801 National Blvd, Suite 340, Los Angeles, CA 90064-4139 2009-01-26
1124285580 Lisa Nakamura Counselor 10801 National Blvd, Suite 611, Los Angeles, CA 90064-4139 2008-05-21
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90064

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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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