MRS. LINDA DOREEN HUMPHRIES


Address: 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247
Phone: 3103298633

MRS. LINDA DOREEN HUMPHRIES (NPI# 1386913663) 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) 1386913663
Entity Type Individual
Full Name MRS. LINDA DOREEN HUMPHRIES
Other Name MISS LINDA DOREEN YOUNG
Credential FNP
Practice Address 1141 W. Redondo Beach Blvd.
Suite 402
Gardena
CA 90247
Mailing Address 1045 W Redondo Beach Blvd
Ste 575
Gardena
CA 90247-4191
Practice Telephone 3103298633
Practice Fax Number 3103298636
Mailing Telephone 3108338536
Enumeration Date 2011-12-15
Last Update Date 2017-05-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
20737 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers LINDA HUMPHRIES

NPI Name Taxonomy Address Enumeration
1467629808 Linda M Humphries Counselor 842 E Park Ave, Tallahassee, FL 32301-0403 2008-05-14

Office Location

Street Address 1141 W. REDONDO BEACH BLVD.
SUITE 402
City GARDENA
State CA
Zip Code 90247

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982204707 Melissa Reyes Home Health Aide 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 2020-10-30
1538645569 Christopher Jabarie Markham Case Manager/Care Coordinator 12817 S Hoover St Apt 14, Gardena, CA 90247 2018-07-12
1013404243 Sunshine Community Resource Organization Center Counselor 1202 W 135th Street, Gardena, CA 90247 2018-04-13
1124537261 Nina Vu Pharmacist 14416 Plum Lane, Unit 3, Gardena, CA 90247 2017-09-20
1356871008 Delaram Moshfegh Pharmacist 1735 Artesia Blvd, Gardena, CA 90247 2017-06-15
1497290522 Better Vision Optical Eyewear Supplier (Equipment, not the service) 1121 W Gardena Blvd Ste A, Gardena, CA 90247 2016-12-28
1013394832 Lydia Gonzalez Case Management 13605 S Vermont Ave Apt 16, Gardena, CA 90247 2015-04-30
1396147682 Daniel Medical Group, Inc. Acupuncturist 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 2014-09-18
1215229547 Everett D Wong Social Worker 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 2011-05-04
1902196496 Iris Yvette Knighten Counselor 16914 S. Berendo Ave # B, Gardena, CA 90247 2011-04-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043825193 Adaljiza Tavera Nurse Practitioner 1225 W 190th St Ste 280, Gardena, CA 90248-4305 2020-09-14
1104441401 Amechi Lilian Obodoagha Nurse Practitioner 1720 Marine Ave, Gardena, CA 90247-3110 2020-06-11
1073142121 Angela Ugochi Otegbulu Nurse Practitioner 13812 Spinning Ave, Gardena, CA 90249-2365 2020-04-01
1386295632 Mimi S Sanchez Nurse Practitioner 15710 Spinning Ave, Gardena, CA 90249-4645 2019-09-26
1518464486 Ugochi Nnadozie Nurse Practitioner 1455 W Redondo Beach Blvd Unit 3668, Gardena, CA 90247-6592 2018-04-09
1477061232 Eden B Dabalus Nurse Practitioner 15331 S Ainsworth St, Gardena, CA 90247-4223 2018-01-15
1801325949 Ifeoma Nwufor Nurse Practitioner 1204 W Gardena Blvd Ste B, Gardena, CA 90247-5923 2017-06-11
1598197063 Joliza Klingman Nurse Practitioner 1243 W 184th St, Gardena, CA 90248-4015 2013-08-06
1902093651 Yoonjin Chang Nurse Practitioner 1141 W Redondo Beach Blvd Ste 104, Gardena, CA 90247-3585 2007-09-26
1083221683 Chinyere Esther Opara Nurse Practitioner 500 W 190th St Fl 4, Gardena, CA 90248-4268 2020-09-28
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Competitor

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City GARDENA
Zip Code 90247

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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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