HAZEL MCKILLOP (NPI# 1396766994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396766994 |
| Entity Type | Individual |
| Full Name | HAZEL MCKILLOP |
| Credential | MD |
| Practice Address |
12900 Avalon Blvd Los Angeles CA 90061-2734 |
| Mailing Address |
P.o. Box 2199 1455 W Redondo Blvd Gardena CA 90247 |
| Practice Telephone | 3103705888 |
| Mailing Telephone | 3103705888 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2015-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A50837 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A508371 | 05 |
| Street Address |
12900 AVALON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90061-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417468158 | Ruth A Aboiralor | Nurse Practitioner | 12900 Avalon Blvd, Los Angeles, CA 90061-2734 | 2017-10-20 |
| 1043654676 | Centinela Medical Group | General Practice | 12900 Avalon Blvd, Los Angeles, CA 90061-2734 | 2013-04-25 |
| 1033419320 | Tova Li Babad | Internal Medicine | 12900 Avalon Blvd, Los Angeles, CA 90061-2734 | 2010-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882782 | Golden State Recuperative Care, Inc. | Lodging | 153 E. 110th St, Los Angeles, CA 90061 | 2020-02-05 |
| 1235695974 | Phyllis Kirby Tisdale | Nurse Practitioner | 145 E 124th Street, Los Angeles, CA 90061 | 2019-02-19 |
| 1003160003 | Alicia Vera | Counselor | 245 E 120th Street, Los Angeles, CA 90061 | 2012-10-30 |
| 1194044974 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 12628 Avalon Boulevard, Los Angeles, CA 90061 | 2010-05-19 |
| 1124202817 | David Anthony Martinez | Counselor | 11900 S. Avalon Blvd, 1, Los Angeles, CA 90061 | 2007-12-18 |
| 1255538690 | Ceed Security Services Inc | Durable Medical Equipment & Medical Supplies | 12815 South Avalon Blvd, Los Angeles, CA 90061 | 2007-06-29 |
| 1134335128 | Parklane Medical Group | Family Medicine | 12900 South Avalon Bl., Los Angeles, CA 90061 | 2007-05-15 |
| 1598892184 | Jose Rodriguez | Counselor | 11900 S. Avalon Blvd., Suite 200, Los Angeles, CA 90061 | 2007-02-28 |
| 1316182975 | Luis Rabago | Counselor | 11900 Avalon Blvd, Suite 200, Los Angeles, CA 90061 | 2008-12-11 |
| 1619169406 | Emmanuel A Ayodele | General Practice | 11126 S Main St, Los Angeles, CA 90061 | 2007-08-15 |
| Find all providers in zip 90061 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497297659 | Jon Bennett Glazier | Internal Medicine | 3343 Mandeville Canyon Rd, Los Angeles, CA 90049-1017 | 2016-11-04 |
| 1144586637 | Jason Hong | Internal Medicine | 200 Ucla Medical Plz Ste 365-b, Los Angeles, CA 90095-8344 | 2012-04-09 |
| 1255651378 | Louis S Park M D Inc | Internal Medicine | 1300 N Vermont Ave # 600, Los Angeles, CA 90027-6098 | 2010-06-11 |
| 1366688236 | Archie Fredric Wilson | Internal Medicine | 11244 Homedale St, Los Angeles, CA 90049-3019 | 2008-12-26 |
| 1669627691 | William Fred Bierer | Internal Medicine | 9009 Beverly Blvd, Los Angeles, CA 90048 | 2008-11-18 |
| 1114191186 | Patricia Hedieh Eshaghian | Internal Medicine | Ucla Division of Pulmonary and Critical Care, Chs 37-131, Los Angeles, CA 90095-0001 | 2008-04-21 |
| 1588856538 | Caroline A. Kim | Internal Medicine | 6041 Cadillac Avenue, Suite 248, Kaiser Permanente, Los Angeles, CA 90034 | 2007-08-14 |
| 1790815082 | Los Angeles Lung Center - A Professional Medical Corporation | Internal Medicine | 1245 Wilshire Blvd Ste 305, Los Angeles, CA 90017-4803 | 2007-03-06 |
| 1912086331 | Yungae Kristy Kim | Internal Medicine | 3435 Wilshire Blvd Ste 500, Los Angeles, CA 90010-1906 | 2006-11-05 |
| 1780765933 | Ramadas Abboy | Internal Medicine | 1700 E Cesar E Chavez Ave Ste 3100, Los Angeles, CA 90033-2469 | 2006-10-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90061 |
Please comment or provide details below to improve the information on HAZEL MCKILLOP.
| 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.