MONIQUE KYM LUXENBURG (NPI# 1366849416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366849416 |
| Entity Type | Individual |
| Full Name | MONIQUE KYM LUXENBURG |
| Other Name | MONIQUE KYM TERRAZAS |
| Credential | DPM |
| Practice Address |
250 N Robertson Blvd Ste 106a Beverly Hills CA 90211-1767 |
| Mailing Address |
9663 Santa Monica Blvd # 1151 Beverly Hills CA 90210-4303 |
| Practice Telephone | 8189222244 |
| Practice Fax Number | 8772390994 |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2020-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5301 | CA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11301 Wilshire Blvd, Los Angeles, CA 900731003 | 3104783711 |
| Street Address |
250 N ROBERTSON BLVD STE 106A |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-1767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831683762 | Kiriaki Fotiadis | Physician Assistant | 250 N Robertson Blvd Ste 106a, Beverly Hills, CA 90211-1767 | 2018-06-14 |
| 1477050672 | Carri Rose Prom | Registered Nurse | 250 N Robertson Blvd Ste 106a, Beverly Hills, CA 90211-1767 | 2018-04-12 |
| 1699155911 | Prema Srinivasa Hampapur | Podiatrist | 250 N Robertson Blvd Ste 106a, Beverly Hills, CA 90211-1767 | 2015-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427579002 | Neal Kaushik Patel | Podiatrist | 250 N Robertson Blvd Ste 104, Beverly Hills, CA 90211-1767 | 2017-07-04 |
| 1750798435 | Tamer Younan | Podiatrist | 200 N Robertson Blvd Ste 205, Beverly Hills, CA 90211-6002 | 2014-07-15 |
| 1326462110 | Beverly Hills Podiatry, Inc | Podiatrist | 416 N Bedford Dr Ste 307, Beverly Hills, CA 90210-4309 | 2014-02-13 |
| 1164515730 | Stanley Orwasher | Podiatrist | 435 N. Roxbury Drive, Beverly Hills, CA 90210-5027 | 2006-10-02 |
| 1558370197 | Gary Wolk Docks | Podiatrist | 18810 Beverly Rd, Beverly Hills, MI 48025-4014 | 2006-08-05 |
| 1114964970 | Myron Louis Hall | Podiatrist | 9301 Wilshire Blvd Ste 602, Beverly Hills, CA 90210-6161 | 2006-06-01 |
| 1922057173 | Bobby Pourziaee | Podiatrist | 421 N Rodeo Dr, G-12, Beverly Hills, CA 90210-4500 | 2006-05-08 |
| 1699740290 | Dale Marc Kaplan | Podiatrist | 882 W Sunset Strip Dr, Beverly Hills, FL 34465-8745 | 2006-02-17 |
| 1912373952 | David A. Pougatsch, Dpm, Inc. | Podiatrist | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2015-08-13 |
| 1699155911 | Prema Srinivasa Hampapur | Podiatrist | 250 N Robertson Blvd Ste 106a, Beverly Hills, CA 90211-1767 | 2015-06-02 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
Please comment or provide details below to improve the information on MONIQUE KYM LUXENBURG.
| 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.