HARBOR UCLA MEDICAL CENTER (NPI# 1336534908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336534908 |
| Entity Type | Organization |
| Organization Name | HARBOR UCLA MEDICAL CENTER |
| Other Organization Name | HARBOR UCLA MEDICAL CENTER |
| Practice Address |
1000 W Carson St Ophthalmology Clinic Box 6 Carson CA 90810-1408 |
| Practice Telephone | 3102222735 |
| Mailing Telephone | 3102222735 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |
| Authorized Official Name | EVANGELINE OJALES (NP) |
| Authorized Official Telephone | 8186934458 |
| Authorized Official Credential | NURSE PRACTITION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
363LXF0000X | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Harbor UCLA Medical Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306232020 | Harbor Ucla Medical Center | Clinic/Center | 100 W. Carson Street, Ophthalmology Clinic Box 6, Torrance, CA 90502 | 2015-04-09 |
| 1528224029 | Harbor Ucla Medical Center | Student in an Organized Health Care Education/Training Program | 4012 W 129th St, Apt. #3, Hawthorne, CA 90250-5245 | 2008-08-04 |
| 1740359728 | Harbor Ucla Medical Center | Psychiatric Hospital | 1456 Ronan Ave, Wilmington, CA 90744-2022 | 2006-11-06 |
| 1427432582 | Harbor Ucla Medical Center | General Acute Care Hospital | 1000 W Carson St, Torrance, CA 90502-2004 | 2015-07-17 |
| 1730513151 | Harbor Ucla Medical Center | Special Hospital | 1000 W Carson St, Torrance, CA 90502-2004 | 2013-08-22 |
| 1437389400 | Harbor Ucla Medical Center | General Acute Care Hospital | 1000 W Carson St, Department of Orthopaedic Surgery, Torrance, CA 90502-2004 | 2009-07-23 |
| 1255427811 | Harbor Ucla Medical Center | General Acute Care Hospital | 1000 W Carson St, Box 462, Torrance, CA 90502-2004 | 2006-10-04 |
| Street Address |
1000 W CARSON ST OPHTHALMOLOGY CLINIC BOX 6 |
| City | CARSON |
| State | CA |
| Zip Code | 90810-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154824019 | Latrice Hyde | Respiratory Therapist, Certified | 1000 W Carson St, Carson, CA 90810-1408 | 2018-03-16 |
| 1316463839 | Roseline Osana Aluyi | Registered Nurse | 1000 W Carson St, Carson, CA 90810-1408 | 2017-08-16 |
| 1720503865 | Nathan Atthawimol | Respiratory Therapist, Registered | 1000 W Carson St, Carson, CA 90810-1408 | 2017-08-10 |
| 1316472970 | Stephanie Chu | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Carson, CA 90810-1408 | 2017-04-20 |
| 1427463470 | Kiranjot Dyal | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Box 19, Carson, CA 90810-1408 | 2014-06-29 |
| 1992965891 | Evagrio Pagkaliwangan Bencito | Registered Nurse | 1000 W Carson St, Carson, CA 90810-1408 | 2008-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567262 | Arsenia Morante Ramos | Technician | 1928 W Lincoln Street, Long Beach, CA 90810 | 2019-09-18 |
| 1992263867 | Yesenia Llerenas | Counselor | Children's Institute Inc, 1500 Hughes Way #100, Long Beach, CA 90810 | 2019-03-08 |
| 1649746215 | Cassandra Whitney Dewey | Counselor | 2120 W. Williams Street, Long Beach, CA 90810 | 2018-10-22 |
| 1497204028 | Jose Carlos Garcia | Dental Assistant | 2636 E Dominguez St, Long Beach, CA 90810 | 2016-09-23 |
| 1255706560 | Sabrina Navarro | Rehabilitation Practitioner | 1501 Hughles Way, Suite 150, Long Beach, CA 90810 | 2015-12-11 |
| 1275917692 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 2000 San Gabriel Avenue, Long Beach, CA 90810 | 2015-07-15 |
| 1881932168 | Ronald Merton Sommer | Family Medicine | 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 | 2013-01-22 |
| 1619241601 | Vander J. Dale Jr. | Counselor | 2090 River Avenue, Long Beach, CA 90810 | 2012-03-08 |
| 1205125606 | Maria Anna Castillo Tejada | Physical Therapist | 2679 N La Vere Dr, Long Beach, CA 90810 | 2011-04-06 |
| 1386973436 | Roosevelt Williams Jr. | Physical Therapy Assistant | 6444 East Spring St, # 247, Long Beach, CA 90810 | 2009-12-21 |
| Find all providers in zip 90810 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
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| 1770865735 | Vision Institute of Southern California A Professional Medical Corpora | Clinic/Center | 18725 Gale Ave Ste 140, City of Industry, CA 91748-1358 | 2011-09-15 |
| 1548583255 | Gold Coast Vision LLC | Clinic/Center | 461 W 5th St, Oxnard, CA 93030-7049 | 2010-03-09 |
| 1942523139 | Advanced Laser Center | Clinic/Center | 350 S Winchester Blvd, Suite 250, San Jose, CA 95128-2092 | 2010-03-02 |
| 1447485156 | Humboldt Physicians Surgery and Laser Center LLC | Clinic/Center | 3226 Timber Fall Court, Eureka, CA 95503-4888 | 2009-05-26 |
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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.