DR. MALLORY CHAVANNES (NPI# 1356840441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356840441 |
| Entity Type | Individual |
| Full Name | DR. MALLORY CHAVANNES |
| Practice Address |
4650 W Sunset Blvd # 78 Los Angeles CA 90027-6062 |
| Practice Telephone | 4383951651 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
A153763 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | A153763 | 05 |
| Street Address |
4650 W SUNSET BLVD # 78 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679653000 | Beth Carter | Pediatrics | 4650 W Sunset Blvd # 78, Los Angeles, CA 90027-6062 | 2006-10-17 |
| 1891101424 | Sharon Tam | Pediatrics | 4650 W Sunset Blvd # 78, Los Angeles, CA 90027-6062 | 2014-07-03 |
| 1669892295 | Keren L Appel | Pediatrics | 4650 W Sunset Blvd # 78, Los Angeles, CA 90027-6062 | 2014-04-22 |
| 1952669996 | Shreena Patel | Pediatrics | 4650 W Sunset Blvd # 78, Los Angeles, CA 90027-6062 | 2012-04-27 |
| 1801128376 | Ilana Kellerman Moss | Psychologist | 4650 W Sunset Blvd # 78, Los Angeles, CA 90027-6062 | 2010-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518251636 | Travis Loyd Piester | Pediatrics | 4650 W Sunset Blvd # Ms 76, Los Angeles, CA 90027-6062 | 2011-06-06 |
| 1235422197 | Emily Whang | Pediatrics | 10833 Le Conte Ave # 12-383, Los Angeles, CA 90095-2804 | 2011-05-25 |
| 1679653000 | Beth Carter | Pediatrics | 4650 W Sunset Blvd # 78, Los Angeles, CA 90027-6062 | 2006-10-17 |
| 1255445508 | Suzanne Valerie Mcdiarmid | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-3075 | 2006-08-17 |
| 1104350289 | Johanna Muldowney Ascher Bartlett | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2017-04-17 |
| 1952669996 | Shreena Patel | Pediatrics | 4650 W Sunset Blvd # 78, Los Angeles, CA 90027-6062 | 2012-04-27 |
| 1023274420 | Steven T Kim | Pediatrics | 4700 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6082 | 2008-08-05 |
| 1730348962 | Russell J Merritt | Pediatrics | 4650 W Sunset Blvd, Ms #78, Los Angeles, CA 90027-6062 | 2008-06-03 |
| 1396917225 | Kattayoun Kordy | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2008-04-01 |
| 1184816068 | Elaheh Vahabnezhad | Pediatrics | 10833 Le Conte Ave, Los Angeles, CA 90095-1437 | 2007-08-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on DR. MALLORY CHAVANNES.
| 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.